Intraoperative TEE of the Month - April 2014

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

Constrictive Pericarditis

This is doctor Julie huffed Meyer with our opening anesthesia intraoperative T. E. E. case of the month for April 2014. Each month we feature an operative case which teachers or emphasizes an important aspect of basic entropic of T. E.. Our patient this month is a 20 year old male college athlete. He has been otherwise healthy but one year ago developed fatigue just cause discomfort and shortness of breath. At that time a trans thoracic echocardiogram and cardiac MRI revealed effusive constrictive pericarditis. With the normal left ventricular ejection fraction. He was treated with colchicine ibuprofen for their anti inflammatory properties. 6 months later he had resolution of the pericardial effusion but his styken pericardium remained. Late in the summer and echocardiogram revealed mildly decrease left ventricular function with an ejection fraction of 40 percent ...

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