• J Clin Ultrasound · Mar 2014

    Case Reports

    Pleural effusion leading to right atrial collapse.

    • Rami N Khouzam and Jawwad Yusuf.
    • University of Tennessee Health Science Center, Department of Medicine, Division of Cardiovascular Diseases, Memphis, TN, 38163.
    • J Clin Ultrasound. 2014 Mar 1; 42 (3): 189-91.

    AbstractRapid accumulation of pericardial fluid can lead to tamponade, resulting in cardiac chambers' collapse, which can lead to hemodynamic and clinical instability, potentially needing emergent pericardiocentesis. Pleural effusion should also be considered as a potential, if rare, cause of cardiac chambers' collapse and possibly cardiac tamponade. This phenomenon has clinical implications because hemodynamically unstable patients with moderate to large pleural effusion may actually need thoracentesis instead of massive volume resuscitation, inotropic agents, or pericardiocentesis.Copyright © 2013 Wiley Periodicals, Inc.

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