We present a case of a 43-year-old woman with a history of chronic idiopathic pericardial effusion, which has been diagnosed 6 years ago. The patient reported an increasing dyspnea over the last 2 months. Echocardiographic examination showed a massive pericardial effusion with compromise of the right atrium and ventricle, and an increase in the respiratory variation of mitral valve inflow velocities, suggested of haemodynamic compromise. A therapeutic pericardiocentesis was performed using a subxyphoidal approach. Five hundred millilitres of serous fluid were drained and a marked reduction of the effusion was achieved. On day 1 after the pericardiocentesis, the patient developed a left sided chest pain. The chest radiography showed a new lucent outline around the heart representing the existence of air in the pericardial space (Fig. 1).
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- Continuous left hemidiaphragm sign revisited: a case of spontaneous pneumopericardium and literature review.Heart. 2002; 88: e5
Accepted: April 29, 2008
Received: April 25, 2008
© 2008 Published by Elsevier Inc.