PMID- 15949058
OWN - NLM
STAT- MEDLINE
DCOM- 20051205
LR  - 20061115
IS  - 1061-5377 (Print)
IS  - 1061-5377 (Linking)
VI  - 13
IP  - 4
DP  - 2005 Jul-Aug
TI  - Left ventricular cardiac tamponade in the setting of cor pulmonale and 
      circumferential pericardial effusion. Case report and review of the literature.
PG  - 214-7
AB  - Circumferential pericardial effusion typically results in biventricular tamponade 
      and equalization of intracardiac and pericardial pressure during diastole. 
      However, tamponade may involve the right or left ventricle. While isolated left 
      ventricular cardiac tamponade (LVCT) can occur as a postoperative complication 
      from localized posterior pericardial effusions, circumferential pericardial 
      effusions leading to LVCT are rare. We report a case of a patient with severe 
      pulmonary hypertension, a large nonloculated pericardial effusion, and LVCT, 
      which was probably due to a chronic undifferentiated connective tissue disorder. 
      This case illustrates that when evaluating patients with circumferential 
      pericardial effusions and associated pulmonary hypertension, the typical findings 
      of cardiac tamponade (pulsus paradoxus, right ventricular diastolic compression 
      and hypotension) may be masked. The echocardiogram must be reviewed carefully as 
      it may reveal left ventricular diastolic compression, the hallmark of LVCT, which 
      may significantly compromise left ventricular filling and cardiac output.
FAU - Gollapudi, Raghava R
AU  - Gollapudi RR
AD  - Division of Cardiovascular Diseases, Scripps Clinic, La Jolla, CA, USA. 
      gollapudi.raghava@scrippshealth.org
FAU - Yeager, Mark
AU  - Yeager M
FAU - Johnson, Allen D
AU  - Johnson AD
LA  - eng
PT  - Case Reports
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PT  - Review
PL  - United States
TA  - Cardiol Rev
JT  - Cardiology in review
JID - 9304686
SB  - IM
MH  - Aged
MH  - Cardiac Tamponade/*diagnosis/physiopathology
MH  - Echocardiography, Doppler
MH  - Female
MH  - Heart Ventricles/*physiopathology
MH  - Humans
MH  - Pericardial Effusion/*physiopathology
MH  - Pulmonary Heart Disease/*physiopathology
RF  - 9
EDAT- 2005/06/14 09:00
MHDA- 2005/12/13 09:00
CRDT- 2005/06/14 09:00
PHST- 2005/06/14 09:00 [pubmed]
PHST- 2005/12/13 09:00 [medline]
PHST- 2005/06/14 09:00 [entrez]
AID - 01.crd.0000151499.06046.48 [pii]
AID - 10.1097/01.crd.0000151499.06046.48 [doi]
PST - ppublish
SO  - Cardiol Rev. 2005 Jul-Aug;13(4):214-7. doi: 10.1097/01.crd.0000151499.06046.48.