A High-Echoic Layer Surrounding the Heart Suggesting Cardiac Tamponade by Clotting

AORTA

article

Ikuto Takeuchi¹  Jun Shitara¹  Youichi Yanagawa¹ 

[1] Department of Acute Critical Care Medicine, Juntendo Shizuoka Hospital

关键词: aortic dissection;    tamponade;    Loeys–Dietz syndrome;   

DOI  :  10.1055/s-0041-1729912

来源: Thieme

【 摘 要 】

A 16-year-old boy experienced a sudden loss of consciousness. On arrival, he was in cardiac arrest. An ultrasound study revealed a high-echoic layer surrounding the heart. He received a diagnosis of clotting cardiac tamponade. Urgent thoracotomy with pericardiotomy was performed, but he failed to obtain return of spontaneous circulation. Physicians should focus on not only low-echoic but also high-echoic areas to accurately diagnose clotting, which can result in a critical condition if not managed properly.

【 授权许可】

Unknown