Methodist Journal

IN THIS ISSUE

Nutritional Supplements and the Heart

Vol 15, Issue 3 (2019)


FEATURED GUEST EDITOR

ISSUE INTRO

Dietary Supplements: Facts and Fallacies

See More
RECOGNITIONS

Drs. Raizner and Cooke Take the Lead in Special Issue on Supplements

See More

REVIEW ARTICLES See More

Recent Clinical Trials Shed New Light on the Cardiovascular Benefits of Omega-3 Fatty Acids

Supplemental Vitamins and Minerals for Cardiovascular Disease Prevention and Treatment

Coenzyme Q10

Red Yeast Rice for Hypercholesterolemia

Inorganic Nitrate Supplementation for Cardiovascular Health

Vitamin D and Calcium Supplements: Helpful, Harmful, or Neutral for Cardiovascular Risk?

Cardiovascular Risk of Proton Pump Inhibitors

Advanced Cardiac Imaging for Complex Adult Congenital Heart Diseases

CASE REPORTS See More

A Rare Case of Pancreatitis-Induced Thrombosis of the Aorta and Superior Mesenteric Artery

Anomalous Origin of the Right Coronary Artery from the Left Main Coronary Artery in the Setting of Critical Bicuspid Aortic Valve Stenosis

Simultaneous Transfemoral Mitral and Tricuspid Valve in Ring Implantation: First Case Report with Edwards Sapien 3 Valve

Uneventful Follow-Up 2 Years after Endovascular Treatment of a High Flow Iatrogenic Aortocaval Fistula Causing Pulmonary Hypertension and Right Heart Failure

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER See More

Snoopy’s Heart: A Case of Complete Congenital Absence of the Pericardium

CLINICAL PERSPECTIVES See More

POINTS TO REMEMBER

Herbal Nephropathy

EXCERPTA

Rolling the Dice on Red Yeast Rice

POINTS TO REMEMBER

The Kidney in Congenital Cyanotic Heart Disease

EXCERPTA

Talking Statins with Antonio Gotto

EDITORIALS

Letter to the Editor in Response to “Cardiac Autonomic Neuropathy in Diabetes Mellitus”

Vol 11, Issue 4 (2015)

Article Full Text

MUSEUM OF HMH MULTIMODALITY IMAGING CENTER

Complications of Cardiac Contusion Diagnosed Using Multimodality Imaging

Jump to:
Article Citation:

Lakshmi Chebrolu, Joshua McKay, Jeffrey Parker, and Karla Kurrelmeyer. Complications of Cardiac Contusion Diagnosed Using Multimodality Imaging. Methodist DeBakey Cardiovascular Journal. October 2015, Vol. 11, No. 4, pp. 253-253.

doi: https://doi.org/10.14797/mdcj-11-4-253

Keywords
cardiac contusion , tricuspid leaflet , echocardiography , hematoma

A 32-year-old male with a history of end-stage renal disease on hemodialysis presented to Houston Methodist Hospital with chest pain and hypotension following a motor vehicle accident. Echocardiography revealed severe right ventricular (RV) enlargement with akinesis of the RV free wall and a pericardial mass (Image 1: arrow). He had severe restriction of the posterior tricuspid leaflet and no coaptation of the tricuspid leaflets, resulting in severe tricuspid regurgitation (Image 2: dashed arrow demonstrating V wave cut-off sign). Cardiac computed tomography angiography revealed a 2 cm × 7 cm intrapericardial loculated nonenhancing fluid collection (HU 15–25 likely exudative) located anteriorly and extending superiorly to the level of the aortic arch (Image 3: H).

The patient was taken to the operating room, and the fluid collection was evacuated and sent to pathology. A 37-mm St. Jude Attune™ adjustable tricuspid annular ring (St. Jude Medical, Sylmar, CA) was placed. Pathology was consistent with a subacute hematoma (Image 4: HE sections demonstrating cardiac myocytes with myxoid change, fibrosis, chronic inflammation, fibrin deposition, and hemosiderin laden-macrophages). Patient did well and was discharged home. Follow-up imaging revealed persistent significant tricuspid regurgitation, small residual pericardial hematoma (RH), and significant dilation of the right atrium (RA) and RV (Image 5, 6: arrow points out 37-mm St. Jude Attune adjustable tricuspid annular ring).

https://journal.houstonmethodist.org/na101/home/literatum/publisher/pinnacle/journals/content/mdcj/2015/19476094-11.4/mdcj-11-4-253/20151228/images/large/i1947-6094-11-4-253-f01.jpeg

Add Comments

Please login to dialogue with author.

Comments