Images in Cardiothoracic Medicine and Surgery
Cardiac tamponade due to purulent pericarditis
Asian Cardiovascular & Thoracic Annals 21(5) 621 ß The Author(s) 2012 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492312449827 aan.sagepub.com
Kyung Hwa Kim, Jong Bum Choi and Min Ho Kim
Figure 1. (A) Chest radiography showed mediastinal widening and dense consolidation of the left lower lobe. (B, C) Chest computed tomography showed a huge anterior and middle mediastinal mass with multiple septation and a moderate pericardial effusion with cystic bronchial dilatation and wall thickening in both lower lung fields, but it could not differentiate between infection and neoplasm.
A 34-year-old man presented with dyspnea and uncontrolled fever for 1 week, and hemodynamic collapse (blood pressure 80/50 mm Hg, pulse rate 100 beats per minute, central venous pressure 20 cm H2O). Chest radiography showed abnormal mediastinal widening (Figure 1(A)). Because of the hemodynamic instability, we performed an emergency pericardiectomy by sternotomy, with drainage and debridement (Figure 1(B), 1(C)). Cultures of pus obtained intraoperatively revealed Candida albicans.
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflicts of interest statement None declared.
Department of Cardiothoracic and Vascular Surgery, Chonbuk National University Medical School, Jeonju, South Korea Corresponding author: Kyung Hwa Kim, MD, PhD, Department of Cardiothoracic and Vascular Surgery, Chonbuk National University Medical School, 634–18 Geumamdong, Jeonju, Chonbuk 561–712, South Korea. Email: [email protected]
Downloaded from aan.sagepub.com at NORTHERN ARIZONA UNIVERSITY on June 1, 2015
Cardiac tamponade due to purulent pericarditis
Asian Cardiovascular & Thoracic Annals 21(5) 621 ß The Author(s) 2012 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav DOI: 10.1177/0218492312449827 aan.sagepub.com
Kyung Hwa Kim, Jong Bum Choi and Min Ho Kim
Figure 1. (A) Chest radiography showed mediastinal widening and dense consolidation of the left lower lobe. (B, C) Chest computed tomography showed a huge anterior and middle mediastinal mass with multiple septation and a moderate pericardial effusion with cystic bronchial dilatation and wall thickening in both lower lung fields, but it could not differentiate between infection and neoplasm.
A 34-year-old man presented with dyspnea and uncontrolled fever for 1 week, and hemodynamic collapse (blood pressure 80/50 mm Hg, pulse rate 100 beats per minute, central venous pressure 20 cm H2O). Chest radiography showed abnormal mediastinal widening (Figure 1(A)). Because of the hemodynamic instability, we performed an emergency pericardiectomy by sternotomy, with drainage and debridement (Figure 1(B), 1(C)). Cultures of pus obtained intraoperatively revealed Candida albicans.
Funding This research received no specific grant from any funding agency in the public, commercial, or not-for-profit sectors.
Conflicts of interest statement None declared.
Department of Cardiothoracic and Vascular Surgery, Chonbuk National University Medical School, Jeonju, South Korea Corresponding author: Kyung Hwa Kim, MD, PhD, Department of Cardiothoracic and Vascular Surgery, Chonbuk National University Medical School, 634–18 Geumamdong, Jeonju, Chonbuk 561–712, South Korea. Email: [email protected]
Downloaded from aan.sagepub.com at NORTHERN ARIZONA UNIVERSITY on June 1, 2015
