An unusual case of cardiac tamponade
Ware, D.L.; Freeman, G.L.; Crawford, M.H.
Canadian Journal of Cardiology 4(2): 108-111
1988
ISSN/ISBN: 0828-282X PMID: 3365598 Document Number: 319216
A 29-year-old woman with Ebstein's anomaly on anticoagulant therapy presented with chest pain. A diagnosis of pericarditis was made once a myocardial infarction and pulmonary embolus had been excluded. She was discharged but returned shortly thereafter with fever, tachypnea and tachycardia. A repeat chest film disclosed that the cardiac silhouette had enlarged greatly since prior admission. Despite the absence of pulsus paradoxus, right heart catheterization confirmed the clinical suspicion of pericardial tamponade.