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Localized pericardial hematoma presenting with acute hypoxemia
Paul C Saunders1, Juan B Grau, Carol L Chen
1Division of Cardiothoracic Surgery, Department of Surgery, New York University School of Medicine, New York, New York 10016, USA.
Abstract:
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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