A Case of Hemorrhagic Cardiac Tamponade in a Patient with COVID-19 Infection

Figures

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  Figure 1. Chest radiography: a 62-year-old man was brought to the emergency department because of progressive shortness of breath and altered mental status. He was found to be in hypoxic respiratory failure requiring emergent intubation. Chest radiography shows bilateral opacities and right pleural effusion (yellow arrow).

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  Figure 2. Electrocardiogram: the patient was in shock and required multiple pressors. Electrocardiography showed normal sinus rhythm, and serial cardiac enzymes were normal.

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  Figure 3. Echocardiography before pericardiocentesis: transthoracic echocardiography showed pericardial effusion (yellow arrow), with signs of tamponade (not depicted). The patient underwent emergent pericardiocentesis. A total of 1.1 L of sanguinous fluid was drained.

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  Figure 4. Echocardiography after pericardiocentesis: drainage from pericardial drain diminished and eventually stopped. Repeat echocardiography 5 days after drain placement showed no residual pericardial effusion.

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  Figure 5. Clinic follow-up chest computed tomography showing bilateral ground-glass opacities and small right pleural effusion (yellow arrow).