An Unusual Case of Intermittent Cardiac Tamponade

A 64-year-old man presented to his general practitioner complaining of intermittent shortness of breath on exertion, particularly when constipated. His background included a traumatic above the knee amputation and coronary artery bypass surgery 20 years ago using bilateral internal thoracic arteries and the left radial artery; this was complicated by a deep sternal wound infection that required sternal debridement and bilateral pectoral flaps advancement. A recurrent infection 3 months later was treated with a second debridement and partial sternectomy followed by pedicled omental flap reconstruction.
Source: Heart, Lung and Circulation - Category: Cardiology Authors: Tags: Image Source Type: research