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Case Reports
. 2023 May 18;11(5):e7369.
doi: 10.1002/ccr3.7369. eCollection 2023 May.

Resuscitative TEE after open heart surgery: When POCUS fails to FOCUS

Affiliations
Case Reports

Resuscitative TEE after open heart surgery: When POCUS fails to FOCUS

Julien Higny et al. Clin Case Rep. .

Abstract

Echocardiography is key in evaluating the cause of collapse in the post-cardiac surgery patient. Transesophageal echocardiography provides a greater capability for the diagnosis of pericardial effusion in patients who arrest after cardiac surgery.

Keywords: POCUS; circulatory shock; critical care echocardiography; pericardial tamponade; transesophageal echocardiography.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

Figures

FIGURE 1
FIGURE 1
Cardiac POCUS imaging of the apical four chamber view. This image demonstrates no evidence of circumferential pericardial effusion. LA, left atrium; LV, left ventricle; RA, right atrium; RV, right ventricle.
FIGURE 2
FIGURE 2
Transesophageal ultrasound imaging of the bicaval view (115° probe rotation). This image demonstrates a compression of the right atrium (RA) and the superior vena cava (arrowhead) by a ‘hidden’ posterior pericardial clot (arrow).

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