Pericardial Disease - Pericardial Tamponade
Caption
A 39-year-old female with known metastatic lung cancer complicated by multiple pulmonary emboli on apixaban presented with worsening dyspnea and productive cough over one week duration. POCUS identified a large, circumferential pericardial effusion (appreciated in multiple views; subcostal view shown here). Of note, she had echocardiographic findings consistent with tamponade physiology including early right ventricular (RV) diastolic collapse and right atrial systolic collapse. She also has evidence of RV strain demonstrated by flattening of her interventricular septum with ventricular interdependence (the latter findings are likely secondary to underlying chronic thromboembolic disease and pulmonary hypertension). Shahad Al Chalaby, MD. PGY3 Internal Medicine. Highland Hospital. Alameda Health System Residency Program. Oakland, CA, USA. @shahad_Chalaby Adam Mortimer, DO. PGY1 Internal Medicine. Highland Hospital. Alameda Health System Residency Program. Oakland, CA USA.