Patient with progressive chest pain and dyspnea after aortic valve replacement
Abstract A 45‐year‐old man presented to the emergency department (ED) with progressive chest pain and dyspnea 3 months after aortic valve replacement. He had been evaluated by his primary care physician and cardiologist and no diagnosis had been made. On arrival, the emergency physicians performed p...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-10-01
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| Series: | Journal of the American College of Emergency Physicians Open |
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| Online Access: | https://doi.org/10.1002/emp2.12171 |
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| author | Ozair Rizvi Sarab Sodhi Joshua S. Rempell |
| author_facet | Ozair Rizvi Sarab Sodhi Joshua S. Rempell |
| author_sort | Ozair Rizvi |
| collection | DOAJ |
| description | Abstract A 45‐year‐old man presented to the emergency department (ED) with progressive chest pain and dyspnea 3 months after aortic valve replacement. He had been evaluated by his primary care physician and cardiologist and no diagnosis had been made. On arrival, the emergency physicians performed point‐of‐care ultrasonography, which showed a large hypoechoic collection compressing the right ventricle. This prompted further workup, including a computed tomography of the chest, which revealed a large fluid collection in the anterior mediastinum. Subsequently, cardiothoracic surgery was consulted and the patient was taken to the operating room for a sternal washout with evacuation of the collection. |
| format | Article |
| id | doaj-art-adcd57b0bfa84e3ea3e13a0803c9258d |
| institution | DOAJ |
| issn | 2688-1152 |
| language | English |
| publishDate | 2020-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the American College of Emergency Physicians Open |
| spelling | doaj-art-adcd57b0bfa84e3ea3e13a0803c9258d2025-08-20T03:04:01ZengElsevierJournal of the American College of Emergency Physicians Open2688-11522020-10-01151114111610.1002/emp2.12171Patient with progressive chest pain and dyspnea after aortic valve replacementOzair Rizvi0Sarab Sodhi1Joshua S. Rempell2Department of Emergency Medicine Cooper University Hospital Camden New Jersey USADepartment of Emergency Medicine Cooper University Hospital Camden New Jersey USADepartment of Emergency Medicine Cooper University Hospital Camden New Jersey USAAbstract A 45‐year‐old man presented to the emergency department (ED) with progressive chest pain and dyspnea 3 months after aortic valve replacement. He had been evaluated by his primary care physician and cardiologist and no diagnosis had been made. On arrival, the emergency physicians performed point‐of‐care ultrasonography, which showed a large hypoechoic collection compressing the right ventricle. This prompted further workup, including a computed tomography of the chest, which revealed a large fluid collection in the anterior mediastinum. Subsequently, cardiothoracic surgery was consulted and the patient was taken to the operating room for a sternal washout with evacuation of the collection.https://doi.org/10.1002/emp2.12171acute carecardiac ultrasonographycritical careemergency medicinePOCUSvalve replacement |
| spellingShingle | Ozair Rizvi Sarab Sodhi Joshua S. Rempell Patient with progressive chest pain and dyspnea after aortic valve replacement Journal of the American College of Emergency Physicians Open acute care cardiac ultrasonography critical care emergency medicine POCUS valve replacement |
| title | Patient with progressive chest pain and dyspnea after aortic valve replacement |
| title_full | Patient with progressive chest pain and dyspnea after aortic valve replacement |
| title_fullStr | Patient with progressive chest pain and dyspnea after aortic valve replacement |
| title_full_unstemmed | Patient with progressive chest pain and dyspnea after aortic valve replacement |
| title_short | Patient with progressive chest pain and dyspnea after aortic valve replacement |
| title_sort | patient with progressive chest pain and dyspnea after aortic valve replacement |
| topic | acute care cardiac ultrasonography critical care emergency medicine POCUS valve replacement |
| url | https://doi.org/10.1002/emp2.12171 |
| work_keys_str_mv | AT ozairrizvi patientwithprogressivechestpainanddyspneaafteraorticvalvereplacement AT sarabsodhi patientwithprogressivechestpainanddyspneaafteraorticvalvereplacement AT joshuasrempell patientwithprogressivechestpainanddyspneaafteraorticvalvereplacement |