Chapter 12: Pericardium

Assessment of pericardial diseases using TEE is described, including effusion, tamponade, and constriction. Differences between constriction and restriction are highlighted. Imaging and video will depict topics.

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Figures

Oblique sinus hematoma. (A, B) ME view at 7° shows a hematoma in the oblique sinus compressing the LA in an unstable patient after cardiac surgery. (C) The CT scan with an anterior pneumothorax (arrow) made a TTE approach impossible for the diagnosis of this condition.<em> Abbreviations</em>: CT, computed tomography; LA, left atrium; LV, left ventricle; ME, mid-esophageal; RA, right atrium; RV, right ventricle; TTE, transthoracic echocardiography. <i class='fa fa-video-camera' aria-hidden='true'></i>

eFigure 12.4

Oblique sinus hematoma. (A, B) ME view at 7° shows a hematoma in the oblique sinus compressing the LA in an unstable patient after cardiac surgery. (C) The CT scan with an anterior pneumothorax (arrow) made a TTE approach impossible for the diagnosis of this condition. Abbreviations: CT, computed tomography; LA, left atrium; LV, left ventricle; ME, mid-esophageal; RA, right atrium; RV, right ventricle; TTE, transthoracic echocardiography.

Pericardial effusion. (A, B) TG 2C view shows a posterior pericardial effusion in an unstable 66-year-old man following cardiac arrest.<em> Abbreviations</em>: 2C, two-chamber; LV, left ventricle; TG, transgastric. <i class='fa fa-video-camera' aria-hidden='true'></i>

eFigure 12.5

Pericardial effusion. (A, B) TG 2C view shows a posterior pericardial effusion in an unstable 66-year-old man following cardiac arrest. Abbreviations: 2C, two-chamber; LV, left ventricle; TG, transgastric.

Pericardial drainage. (A-E) These are TG SAX mid-papillary views (A, B) before and (C, D) after percutaneous pericardial drainage of a large (900 ml) pericardial effusion under TEE guidance (E) in the operating room. The guidewire appears behind the ventricles.<em> Abbreviations</em>: LV, left ventricle; RV, right ventricle; SAX, short-axis; TEE, transesophageal echocardiography; TG, transgastric. Source: Photo courtesy of Dr. Raymond Cartier.

eFigure 12.13

Pericardial drainage. (A-E) These are TG SAX mid-papillary views (A, B) before and (C, D) after percutaneous pericardial drainage of a large (900 ml) pericardial effusion under TEE guidance (E) in the operating room. The guidewire appears behind the ventricles. Abbreviations: LV, left ventricle; RV, right ventricle; SAX, short-axis; TEE, transesophageal echocardiography; TG, transgastric. Source: Photo courtesy of Dr. Raymond Cartier.

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Videos

Chapter 12 Fig01A

Chapter 12 Fig01C

Chapter 12 Fig01D

Chapter 12 Fig01E

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Chapter 12 Fig03D

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Chapter 12 Fig05A

Chapter 12 Fig06A

Chapter 12 Fig06C

Chapter 12 Fig08A

Chapter 12 Fig11C

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Chapter 12 Fig11F

Chapter 12 Fig12A

Chapter 12 Fig13A

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Chapter 12 Fig14D

Chapter 12 Fig14E

Chapter 12 Fig15A

Chapter 12 Fig15E

Chapter 12 Fig18A

Chapter 12 Fig21A

Chapter 12 Fig21D

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Tables

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