RESUMEN
Transesophageal echocardiography (TEE) is a valuable tool for evaluating hemodynamic instability in patients under general anesthesia. We present the case of a 28‑year‑old man who presented with complaints of testicular pain concerning for testicular torsion. After induction of general anesthesia for scrotal exploration and possible orchiopexy, the patient developed severe and persistent hypotension. Using intraoperative TEE, the diagnosis of pericardial tamponade was made, and an emergent pericardial window was performed.
Asunto(s)
Adulto , Anestesia/administración & dosificación , Anestesia/complicaciones , Taponamiento Cardíaco/diagnóstico , Taponamiento Cardíaco/cirugía , Ecocardiografía Transesofágica/métodos , Humanos , Masculino , Derrame Pericárdico , Técnicas de Ventana Pericárdica/métodos , Pericarditis , Torsión del Cordón Espermático/complicaciones , Torsión del Cordón Espermático/terapiaRESUMEN
Nineteen patients admitted to Alexandria Cardiothoracic Surgery Department with massive pericardial effusion were studied. Subxiphoid pericardiostomy was done under local or general anesthesia, pericardial fluid was sent for culture-sensitivity, acid fast bacilli and cytology for malignant cells, also a piece of pericardium was sent for histopathological examination. The technique proved to be safe, easy and reliable not only diagnostic, but also as a therapeutic tool for the management of pericardial diseases