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Asian Cardiovasc Thorac Ann 2008;16:348
© 2008 Asia Publishing EXchange Ltd

IMAGES IN CARDIOTHORACIC MEDICINE AND SURGERY

A Rare Cause of Pericardial Tamponade

Saravanan Nanjappan, MBBS, Jayanth RajagopalaReddy, MBBS, Vimalraj Velayutham, MS1, Surendran Rajagopal, MCh1, Gunasekaran DoraiRajan, MS

Department of General Surgery
1 Department of Surgical Gastroenterology Government Stanley Medical College Hospital Chennai, India

For reprint information contact: Saravanan Nanjappan, MBBS, Tel: 91 44 2528 1354, Fax: 91 44 2528 1354, Email: narmi_rahul{at}yahoo.com, No. 65, Rajaji Road, Salem 636 007, Tamilnadu, India

A 55-year-old male presented to the emergency department with sudden onset dyspnea, raised jugular venous pressure and upper abdominal pain. Echocardiogram (Figure 1Go) showed massive pericardial effusion with tamponade due to rupture hydatid cyst of liver. The patient underwent emergency pericardiocentesis and after hemodynamic stabilization, contrast enhanced computerized tomography (Figure 2Go) was done which showed a clear communication between hydatid cyst of liver and the pericardium. Following which he underwent excision of hydatid cyst of the liver and communicating tract. The patient had an uneventful postoperative period and has been on regular follow-up.


Figure 1
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  		Figure 1. Echocardiogram showing pericardial effusion and tract communicating with hydatid cyst liver. White arrow – hydatid cyst liver. Black arrow – communication site.

 

Figure 2
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  		Figure 2. Contrast enhanced computerized tomography after emergency pericardiocentesis showing tract communicating between hydatid cyst of liver and pericardium with minimal effusion. White arrow – tract, black arrow – hydatid cyst liver, white arrow with black head – pericardial effusion.

 





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