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Pericardial hematoma mimicking pericardial abscess
Author(s) -
Marques Ana,
Fazendas Paula,
João Isabel,
Gomes Ana Catarina,
Pereira Hélder
Publication year - 2020
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.14635
Subject(s) - medicine , pericardial effusion , abscess , infective endocarditis , surgery , pericardium , hematoma , periprosthetic , pericarditis , cardiac surgery , arthroplasty
A 26‐year‐old man, with human immunodeficiency virus infection, on hemodialysis, was hospitalized due to infective endocarditis. A mechanical prosthetic mitral valve was implanted. During postoperative period, he maintained signs suggestive of infection. The transthoracic echocardiograms (TTE) revealed a pericardial effusion. One week later was visible a circumscribed collection compatible with a pericardial abscess. He was refused for cardiac surgery; however, inflammatory parameters elevation persisted. The TTE showed a periprosthetic mitral leak, and cardiac surgery was performed. The pericardial drainage revealed a hematoma. This case highlights the difficulty on echocardiographic differential diagnosis between a pericardial hematoma and pericardial abscess in clinical practice.