Pericardial tamponade

Pericardial fluid collections are common postoperatively in all cardiac surgical procedures. The pericardium is left open after heart transplantation, but localized collections of fluid can accumulate, causing myocardial compression and subsequently limiting left ventricular filling. The triad of elevation of central venous pressures, low systemic blood pressure, and low cardiac output merits evaluation with transesophageal echocardiography to distinguish cardiac tamponade from right ventricular failure (Table 3.). Often, diastolic equalization of pressures is not present.

Table 3 Differential diagnoses of low blood pressure, low cardiac output, and high central venous pressure following heart transplantation

Was this article helpful?

0 0
Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

Get My Free Ebook


Post a comment