Author/Authors :
Paul C. Saunders، نويسنده , , Juan B. Grau، نويسنده , , Carol L. Chen، نويسنده , , Michael Zervos، نويسنده , , Charles F. Schwartz، نويسنده , , Stephen B. Colvin، نويسنده , , Barry P. Rosenzweig، نويسنده , , Greg H. Ribakove، نويسنده ,
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.