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Keywords:

  • heart surgery;
  • cardiac tamponade;
  • catheterizatlon;
  • echocardlography;
  • blood coagulation

Abstract

A patient with dyspnea and lethargy 19 days after aortic valve replacement was admitted to the hospital with physical signs suggesting cardiac tamponade. Initial echocardiogram was unhelpful, but Swan-Ganz catheterizatlon showed a gradient in diastole between the right atrium and ventricle. Anglography and repeat echocardlography then showed a mass compressing the right atrium, which was confirmed at surgery.