Detection of intrapericardial hematoma after open heart surgery: the roles of echocardiography and computed tomography

J Am Coll Cardiol. 1985 Jun;5(6):1496-9. doi: 10.1016/s0735-1097(85)80369-7.


Two patients who had right atrial compression caused by intrapericardial hematomas after coronary artery bypass grafting and aortic valve replacement are described. During the course of postoperative evaluation, each patient underwent an echocardiographic examination followed by computed tomography of the chest. Two-dimensional echocardiography visualized the hematomas in both cases. Computed tomography played a useful adjunctive role by further clarifying their nature, location and extent.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aortic Valve / surgery
  • Cardiac Surgical Procedures*
  • Coronary Artery Bypass
  • Diagnosis, Differential
  • Echocardiography*
  • Female
  • Heart Valve Prosthesis
  • Hematoma / diagnosis*
  • Hematoma / diagnostic imaging
  • Hematoma / etiology
  • Humans
  • Male
  • Middle Aged
  • Pericardial Effusion / diagnosis*
  • Pericardial Effusion / diagnostic imaging
  • Pericardial Effusion / etiology
  • Postoperative Complications / diagnosis*
  • Tomography, X-Ray Computed*