在这个案例报告中,我们描述了孤立的左心室心脏压塞,一种罕见的心脏手术并发症,在急诊科(ED)的现场护理超声(POCUS)诊断。据我们所知,这是在ED床旁超声检查上做出的此类诊断的首次报告。我们的患者是一名年轻的成年女性,最近有二尖瓣置换史,因呼吸困难出现在ED,并发现有大量的局部心包积液,导致左心室舒张期塌陷。在ED中通过POCUS进行快速诊断,可以在手术室中通过心胸外科手术进行快速的确定性治疗,并强调当心脏手术后患者出现在ED时,标准的5视图心脏POCUS检查的重要性。
In this
case report, we describe isolated left ventricular cardiac tamponade, a rare complication of cardiac surgery, diagnosed on point-of-care ultrasound (POCUS) in the emergency department (ED). To our knowledge, this is the first report of such a diagnosis made on ED bedside ultrasound. Our patient was a young adult female with a history of recent mitral valve replacement who presented to the ED with dyspnea and was found to have a large loculated pericardial effusion causing left ventricular diastolic collapse. Rapid diagnosis via POCUS in the ED allowed for expedited definitive treatment by cardiothoracic surgery in the operative room and emphasizes the importance of a standard 5-view cardiac POCUS examination when post-cardiac surgery patients present to the ED.