Intraoperative TEE of the Month - November 2013

published 5 years ago by Ed Nemergut and Robert Thiele (presented by the IARS)

Cardiac tamponade

This is doctor Julie health Meyer with our opening anesthesia intraoperative T. E. case of the month for November 2013. Each month we feature an operative case which teachers or emphasizes an important aspect of basic intro operative T. E.. Our case this month is a 40 year old woman with a past medical history of rheumatoid arthritis truth with a visit by a print and intermittent steroids. She was admitted to the hospital one week prior with severe shortness of breath and chest. For. Shia trans thoracic echocardiogram at that time which showed a large circumferential pericardial effusion. Consistent with cardiac tamponade with an ejection fraction of 40 to 45 percent. Our patient underwent percutaneous strange over pericardial effusion but no drain was left in place and she had improvement in her left ventricular function on T. T. E. by the next day. One week later she presented within ...

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