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Case Report

JCDR. 2015; 6(4): 192-193


Pericardiocentesis From Back Under Ultrasound Guidance An Approach for Posterior Pericardial Effusions

Neeti Dogra, Tegbir Sidhu, Praveen Nayak, Virendar Sarwal, Ajay Sinha, Goverdhan Dutt Puri.


Abstract

Pericardial effusion (PE) remains an important cause of morbidity after
cardiac surgery, and it can be life threatening when tamponade leads to
hemodynamic compromise. Transthoracic echocardiography is the most
important tool for diagnosis, grading, performing the pericardiocentesis
procedure and follow up of post surgical pericardial effusions. The present
case highlights the unique technique of posterior approach for pericardiocentesis
for a post surgical effusion in the presence of a large left pleural
effusion which otherwise would have required surgical drainage.

Key words: Pericardial effusion, Pericardiocentesis, Posterior approach, Echocardiography.






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