Key result
Thoracentesis normalized abnormally elevated right and left heart filling pressures in a patient with a massive right pleural effusion, reversing a profile resembling constrictive pericarditis.
Why the study?
Does thoracentesis normalize intracardiac pressures in a patient with a massive right pleural effusion mimicking constrictive pericarditis?
Population
29-year-old female presenting with thyrotoxicosis and a massive right pleural effusion (n=1)
Comparison
Thoracentesis vs Pre-thoracentesis state
Design
Case_report
Authors
Loading...
Alerts clinicians to pleural effusion as reversible constrictive pericarditis mimic; leaves open generalizability from this case report.
Case Report (n=1)
Does thoracentesis normalize intracardiac pressures in a patient with a massive right pleural effusion mimicking constrictive pericarditis?
A massive unilateral pleural effusion can cause extrinsic cardiac compression and ventricular interdependence, producing a hemodynamic profile resembling constrictive pericarditis that resolves with thoracentesis.
Dell’Italia et al. (1984) conducted a case report in Thyrotoxicosis and massive right pleural effusion (n=1). Thoracentesis vs. Pre-thoracentesis was evaluated on Intracardiac pressures. Thoracentesis normalized abnormally elevated right and left heart filling pressures in a patient with a massive right pleural effusion, reversing a profile resembling constrictive pericarditis.
Synapse has enriched 4 closely related papers on similar clinical questions. Consider them for comparative context: