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Pericardial hematoma mimicking pericardial abscess.
Marques, Ana; Fazendas, Paula; João, Isabel; Gomes, Ana Catarina; Pereira, Hélder.
Afiliación
  • Marques A; Department of Cardiology, Hospital Garcia de Orta, Almada, Portugal.
  • Fazendas P; Department of Cardiology, Hospital Garcia de Orta, Almada, Portugal.
  • João I; Department of Cardiology, Hospital Garcia de Orta, Almada, Portugal.
  • Gomes AC; Department of Cardiology, Hospital Garcia de Orta, Almada, Portugal.
  • Pereira H; Department of Cardiology, Hospital Garcia de Orta, Almada, Portugal.
Echocardiography ; 37(4): 649-651, 2020 04.
Article en En | MEDLINE | ID: mdl-32200579
A 26-year-old man, with human immunodeficiency virus infection, on hemodialysis, was hospitalized due to infective endocarditis. A mechanical prosthetic mitral valve was implanted. During postoperative period, he maintained signs suggestive of infection. The transthoracic echocardiograms (TTE) revealed a pericardial effusion. One week later was visible a circumscribed collection compatible with a pericardial abscess. He was refused for cardiac surgery; however, inflammatory parameters elevation persisted. The TTE showed a periprosthetic mitral leak, and cardiac surgery was performed. The pericardial drainage revealed a hematoma. This case highlights the difficulty on echocardiographic differential diagnosis between a pericardial hematoma and pericardial abscess in clinical practice.
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Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Derrame Pericárdico / Endocarditis Bacteriana Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Echocardiography Asunto de la revista: CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Año: 2020 Tipo del documento: Article País de afiliación: Portugal

Texto completo: 1 Colección: 01-internacional Banco de datos: MEDLINE Asunto principal: Derrame Pericárdico / Endocarditis Bacteriana Tipo de estudio: Diagnostic_studies Límite: Adult / Humans / Male Idioma: En Revista: Echocardiography Asunto de la revista: CARDIOLOGIA / DIAGNOSTICO POR IMAGEM Año: 2020 Tipo del documento: Article País de afiliación: Portugal