• Can J Cardiol · Apr 2013

    Case Reports

    The fluoroscopic swinging heart: a rare sight for the modern interventionalist.

    • Brian J Potter, Vu-Hung Quan, and Jean-Bernard Masson.
    • Centre de Recherche et Centre Cardiovasculaire du Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada. brian.potter@umontreal.ca
    • Can J Cardiol. 2013 Apr 1; 29 (4): 519.e5-6.

    AbstractHerein, we present the case of a 49-year-old woman who presented to a peripheral hospital with a 4-day history of progressive shortness of breath. Following a clinical diagnosis of heart failure and slightly elevated cardiac troponins on initial blood work, the patient was referred for same-day diagnostic coronary angiography, which revealed normal coronary arteries but the surprising finding of a fluoroscopic swinging heart due to a massive pericardial effusion. The patient promptly improved after emergent pericardiocentesis. Fluoroscopic clues to the diagnosis of pericardial effusion are reviewed, with accompanying illustrative video and hemodynamic tracings.Copyright © 2013 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.

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