tailieunhanh - Báo cáo y học: "Localised pericardial tamponade diagnosed by computed tomography: a case presentation"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Localised pericardial tamponade diagnosed by computed tomography: a case presentation. | Journal of Medical Case Reports BioMed Central Open Access Case report Localised pericardial tamponade diagnosed by computed tomography a case presentation Hunaid A Vohra 1 Hazem Khout1 Deepashree Bapu2 and Qamar Abid1 Address Department of Cardiothoracic Surgery University Hospital of North Staffordshire NHS Trust Stoke-on-Trent UK and 2Department of Cardiac Surgery Harefield Hospital Royal Brompton Harefield Hospitals NHS Trust London UK Email Hunaid A Vohra - hunaidvohra@ Hazem Khout - hazemkhout@ Deepashree Bapu - deepa@ Qamar Abid - Corresponding author Published I December 2007 Received I March 2007 Journal of Medical Case Reports 2007 1 162 doi 1752-1947-1-162 Accepted 1 December 2007 This article is available from http content 1 1 162 2007 Vohra et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Introduction In a normovolemic patient low cardiac output after cardiac surgery may be a result of myocardial ischaemia and or pericardial tamponade. However without any objective evidence of ischaemia alongwith no signs of pericardial tamponade or regional wall motion abnormality on transthoracic echocardiogram TTE the diagnosis remains ambiguous. Computed tomography CT scan of the chest may be helpful to reveal pericardial tamponade. Case presentation A 73 year old hypertensive and hypercholestremic gentleman presented to the Emergency Department with acute onset of severe retrosternal chest pain. He had no other significant co-morbidities. ECG showed ST segment depression in leads I AVL V5 and V6. The troponin I level was ng ml. A diagnosis of non-ST elevation myocardial infarction NSTEMI was made. The patient was given aspirin