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Michael Zervos
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Ann Thorac Surg 2005;79:2141-2143
© 2005 The Society of Thoracic Surgeons

Case report

Localized Pericardial Hematoma Presenting With Acute Hypoxemia

Paul C. Saunders, MDa, Juan B. Grau, MDa,*, Carol L. Chen, MDb, Michael Zervos, MDa, Charles F. Schwartz, MDa, Stephen B. Colvin, MDa, Barry P. Rosenzweig, MDb, Greg H. Ribakove, MDa

a Division of Cardiothoracic Surgery, Department of Surgery, New York University School of Medicine, New York, New York, USA
b Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, New York

Accepted for publication November 25, 2003.

* Address reprint requests to Dr Grau, New York University School of Medicine, 530 First Ave, Suite 9V, New York, NY10016 (E-mail: grau{at}cv.med.nyu.edu).

Localized pericardial hematomas after cardiac surgery may have atypical clinical presentations due to regional alterations in cardiac function and hemodynamics. We report a case of extravascular thrombus that compressed the main pulmonary artery and produced acute hypoxemia due to right-to-left shunting across a patent foramen ovale. We review the pathophysiology leading to this finding and the echocardiographic studies that established the diagnosis.






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