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Subxiphoid pericardiocentesis guided by contrast echocardiography in a patient with cardiac tamponade

November 2010 Br J Cardiol 2010; 17:293-95

Subxiphoid pericardiocentesis guided by contrast echocardiography in a patient with cardiac tamponade

Andrew J Turley, Byju Thomas, Richard J Graham

Abstract

Figure 1. (A) Subcostal two-dimensional echocardiogram showing a large pericardial effusion (PE) with collapse of the right ventricular (RV) free wall during diastole. (B) Doppler echocardiography demonstrating marked changes in left ventricular outflow tract velocity during respiratory fluctuations. (C, D) Agitated saline contrast within the pericardial space The patient underwent therapeutic subxiphoid pericardiocentesis guided by contrast echocardiography. Pericardiocentesis is not without risk, and complications include laceration of cardiac chamber or coronary artery, aspiration of ventricular blood, arrhythmias, pneumothorax and punctur

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