Cardiac tamponade

Case contributed by Dr Chris O'Donnell

Presentation

Progressive shortness of breath. Routine CTPA to exclude pulmonary embolism.

Patient Data

Age: 65 years.
Gender: Male

CTPA

Modality: CT
Large pericardial effusion with findings typical of tamponade (arrows)

Case Discussion

Tamponade, i.e. extrinsic pressure of the heart by fluid in the pericardial sac, leading to reduced right-sided heart filling, so on CTPA this is manifested by retrograde contrast filling of distended IVC (and hepatic veins) and azygos vein.  There is also extrinsic compression to the right ventricle (a low pressure system) and epicardial fat by the fluid.

PlayAdd to Share

Case Information

rID: 20909
Case created: 20th Dec 2012
Last edited: 16th Nov 2015
System: Cardiac
Inclusion in quiz mode: Excluded

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.