Delayed Postoperative Cardiac Tamponade: Diagnosis and Management
Symptoms and signs of decreased cardiac output associated with an elevated venous pressure should alert one to the possibility of delayed cardiac tamponade. Enlargement of the cardiothoracic ratio shown by serial roentgenograms and demonstration of significant pericardial effusion by echocardiogram...
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| Veröffentlicht in: | The Annals of thoracic surgery 1978-08, Vol.26 (2), p.155-164 |
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| container_end_page | 164 |
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| container_issue | 2 |
| container_start_page | 155 |
| container_title | The Annals of thoracic surgery |
| container_volume | 26 |
| creator | Hardesty, Robert L. Thompson, Mark Lerberg, David B. Siewers, Ralph D. O'Toole, James D. Salerni, Rosemarie Bahnson, Henry T. |
| description | Symptoms and signs of decreased cardiac output associated with an elevated venous pressure should alert one to the possibility of delayed cardiac tamponade. Enlargement of the cardiothoracic ratio shown by serial roentgenograms and demonstration of significant pericardial effusion by echocardiogram or radionuclide angiocardiography support the diagnosis. Erratic response of the prothrombin time to administration of warfarin and abnormal results of liver function test are additional clues to its diagnosis. Right heart catheterization documents the presence of tamponade and excludes other diagnostic considerations. Operative decompression of the pericardial space can be accomplished by pericardicentesis, subxiphoid pericardiotomy, median sternotomy, or thoracotomy. Hemodynamic observations following the relief of tamponade assure that an adequate therapeutic procedure has been performed. |
| doi_str_mv | 10.1016/S0003-4975(10)63659-4 |
| format | Article |
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Enlargement of the cardiothoracic ratio shown by serial roentgenograms and demonstration of significant pericardial effusion by echocardiogram or radionuclide angiocardiography support the diagnosis. Erratic response of the prothrombin time to administration of warfarin and abnormal results of liver function test are additional clues to its diagnosis. Right heart catheterization documents the presence of tamponade and excludes other diagnostic considerations. Operative decompression of the pericardial space can be accomplished by pericardicentesis, subxiphoid pericardiotomy, median sternotomy, or thoracotomy. Hemodynamic observations following the relief of tamponade assure that an adequate therapeutic procedure has been performed.</description><identifier>ISSN: 0003-4975</identifier><identifier>EISSN: 1552-6259</identifier><identifier>DOI: 10.1016/S0003-4975(10)63659-4</identifier><identifier>PMID: 666426</identifier><language>eng</language><publisher>Netherlands: Elsevier Inc</publisher><subject>Adult ; Blood Pressure ; Cardiac Tamponade - diagnosis ; Cardiac Tamponade - surgery ; Echocardiography ; Female ; Humans ; Male ; Middle Aged ; Postoperative Complications - diagnosis ; Prothrombin Time ; Warfarin - therapeutic use</subject><ispartof>The Annals of thoracic surgery, 1978-08, Vol.26 (2), p.155-164</ispartof><rights>1978 The Society of Thoracic Surgeons</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c309t-bc593e56f18ba79cd2362399df1e258dcde4eb284263d5e8c36bc3998589165e3</citedby><cites>FETCH-LOGICAL-c309t-bc593e56f18ba79cd2362399df1e258dcde4eb284263d5e8c36bc3998589165e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27923,27924</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/666426$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Hardesty, Robert L.</creatorcontrib><creatorcontrib>Thompson, Mark</creatorcontrib><creatorcontrib>Lerberg, David B.</creatorcontrib><creatorcontrib>Siewers, Ralph D.</creatorcontrib><creatorcontrib>O'Toole, James D.</creatorcontrib><creatorcontrib>Salerni, Rosemarie</creatorcontrib><creatorcontrib>Bahnson, Henry T.</creatorcontrib><title>Delayed Postoperative Cardiac Tamponade: Diagnosis and Management</title><title>The Annals of thoracic surgery</title><addtitle>Ann Thorac Surg</addtitle><description>Symptoms and signs of decreased cardiac output associated with an elevated venous pressure should alert one to the possibility of delayed cardiac tamponade. Enlargement of the cardiothoracic ratio shown by serial roentgenograms and demonstration of significant pericardial effusion by echocardiogram or radionuclide angiocardiography support the diagnosis. Erratic response of the prothrombin time to administration of warfarin and abnormal results of liver function test are additional clues to its diagnosis. Right heart catheterization documents the presence of tamponade and excludes other diagnostic considerations. Operative decompression of the pericardial space can be accomplished by pericardicentesis, subxiphoid pericardiotomy, median sternotomy, or thoracotomy. Hemodynamic observations following the relief of tamponade assure that an adequate therapeutic procedure has been performed.</description><subject>Adult</subject><subject>Blood Pressure</subject><subject>Cardiac Tamponade - diagnosis</subject><subject>Cardiac Tamponade - surgery</subject><subject>Echocardiography</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Postoperative Complications - diagnosis</subject><subject>Prothrombin Time</subject><subject>Warfarin - therapeutic use</subject><issn>0003-4975</issn><issn>1552-6259</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1978</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMlOwzAQhi3EVgpvAFJOCA4BL7Ebc0FVyyYVgUQ5W449qYyyFDut1LcnaapeOY1m_n-2D6Ergu8IJuL-C2PM4kSO-A3Bt4IJLuPkAA0I5zQWlMtDNNhbTtFZCD9tSlv5BB0LIRIqBmg8hUJvwEafdWjqJXjduDVEE-2t0yaa63JZV9rCQzR1elHVwYVIVzZ615VeQAlVc46Ocl0EuNjFIfp-fppPXuPZx8vbZDyLDcOyiTPDJQMucpJmeiSNpUxQJqXNCVCeWmMhgYym7VXMckgNE5lp9ZSnkggObIiu-7lLX_-uIDSqdMFAUegK6lVQowQnFOOkNfLeaHwdgodcLb0rtd8oglVHTm3JqQ5LV9qSU13f5W7BKivB7rt6VK382MvQPrl24FUwDioD1nkwjbK1-2fBH6vHfLY</recordid><startdate>197808</startdate><enddate>197808</enddate><creator>Hardesty, Robert L.</creator><creator>Thompson, Mark</creator><creator>Lerberg, David B.</creator><creator>Siewers, Ralph D.</creator><creator>O'Toole, James D.</creator><creator>Salerni, Rosemarie</creator><creator>Bahnson, Henry T.</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>197808</creationdate><title>Delayed Postoperative Cardiac Tamponade: Diagnosis and Management</title><author>Hardesty, Robert L. ; Thompson, Mark ; Lerberg, David B. ; Siewers, Ralph D. ; O'Toole, James D. ; Salerni, Rosemarie ; Bahnson, Henry T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c309t-bc593e56f18ba79cd2362399df1e258dcde4eb284263d5e8c36bc3998589165e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1978</creationdate><topic>Adult</topic><topic>Blood Pressure</topic><topic>Cardiac Tamponade - diagnosis</topic><topic>Cardiac Tamponade - surgery</topic><topic>Echocardiography</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Postoperative Complications - diagnosis</topic><topic>Prothrombin Time</topic><topic>Warfarin - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hardesty, Robert L.</creatorcontrib><creatorcontrib>Thompson, Mark</creatorcontrib><creatorcontrib>Lerberg, David B.</creatorcontrib><creatorcontrib>Siewers, Ralph D.</creatorcontrib><creatorcontrib>O'Toole, James D.</creatorcontrib><creatorcontrib>Salerni, Rosemarie</creatorcontrib><creatorcontrib>Bahnson, Henry T.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Annals of thoracic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hardesty, Robert L.</au><au>Thompson, Mark</au><au>Lerberg, David B.</au><au>Siewers, Ralph D.</au><au>O'Toole, James D.</au><au>Salerni, Rosemarie</au><au>Bahnson, Henry T.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Delayed Postoperative Cardiac Tamponade: Diagnosis and Management</atitle><jtitle>The Annals of thoracic surgery</jtitle><addtitle>Ann Thorac Surg</addtitle><date>1978-08</date><risdate>1978</risdate><volume>26</volume><issue>2</issue><spage>155</spage><epage>164</epage><pages>155-164</pages><issn>0003-4975</issn><eissn>1552-6259</eissn><abstract>Symptoms and signs of decreased cardiac output associated with an elevated venous pressure should alert one to the possibility of delayed cardiac tamponade. Enlargement of the cardiothoracic ratio shown by serial roentgenograms and demonstration of significant pericardial effusion by echocardiogram or radionuclide angiocardiography support the diagnosis. Erratic response of the prothrombin time to administration of warfarin and abnormal results of liver function test are additional clues to its diagnosis. Right heart catheterization documents the presence of tamponade and excludes other diagnostic considerations. Operative decompression of the pericardial space can be accomplished by pericardicentesis, subxiphoid pericardiotomy, median sternotomy, or thoracotomy. Hemodynamic observations following the relief of tamponade assure that an adequate therapeutic procedure has been performed.</abstract><cop>Netherlands</cop><pub>Elsevier Inc</pub><pmid>666426</pmid><doi>10.1016/S0003-4975(10)63659-4</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
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| ispartof | The Annals of thoracic surgery, 1978-08, Vol.26 (2), p.155-164 |
| issn | 0003-4975 1552-6259 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_74042004 |
| source | MEDLINE; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection |
| subjects | Adult Blood Pressure Cardiac Tamponade - diagnosis Cardiac Tamponade - surgery Echocardiography Female Humans Male Middle Aged Postoperative Complications - diagnosis Prothrombin Time Warfarin - therapeutic use |
| title | Delayed Postoperative Cardiac Tamponade: Diagnosis and Management |
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