Large pericardial effusion

Images by Genevieve Carbonatto  5 chamber view shows large pericardial effusion and right ventricular wall and right atrial wall collapse

Parasternal long axis left ventricle showing a circumferential pericardial effusion. It is small anteriorly but moderate posteriorly.

Parasternal short axis left ventricle at the  level of the papillary muscles with a large circumferential pericardial effusion.

Parasternal short axis left ventricle at level of the apex with a large circumferential pericardial effusion.

 

Apical 4-chamber view showing large circumferential pericardial effusion.  The RA wall is well seen and in this view shows no definite echo sign of cardiac tamponade.  The RA wall is not involuting for more than one third of the cardiac cycle.

 

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Pulsed wave Doppler of the transmitral flow. The normal E and A waves of the transmitral flow are fused due to tachycardia but there is increased respiratory variation.  Under normal conditions there is no respiratory variation.

 

Apical view between a 4-chamber and a 5-chamber view with a large pericardial effusion now demonstrates significant collapse of the RA wall consistent with echo signs of cardiac tamponade.

Subxiphoid view of the IVC in long axis.  The IVC is dilated and non-collapsing consistent with cardiac tamponade.

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