A Tight Squeeze: Focal Tamponade and Obstructive Shock From Esophageal Stenting

Deepak Atri; Claire Shappell; Paul B Dieffenbach; Yee-Ping Sun

doi:10.1016/j.jaccas.2019.05.019

A Tight Squeeze: Focal Tamponade and Obstructive Shock From Esophageal Stenting

JACC Case Rep. 2019 Jun 19;1(1):70-72. doi: 10.1016/j.jaccas.2019.05.019. eCollection 2019 Jun.

Authors

Deepak Atri¹, Claire Shappell², Paul B Dieffenbach², Yee-Ping Sun¹

Affiliations

¹ Department of Medicine, Division of Cardiovascular Medicine, Brigham and Women's Hospital, Boston, Massachusetts.
² Department of Medicine, Division of Pulmonary and Critical Care Medicine, Brigham and Women's Hospital, Boston Massachusetts.

Abstract

Cardiac tamponade is a rare cause of shock in the medical intensive care unit. This paper describes the case of a focal cardiac tamponade caused by compression of the left atrium due to an esophageal stent. Echocardiography yielded a diagnosis when other diagnostic methods did not. (Level of Difficulty: Advanced.).

Keywords: renal cell carcinoma; tracheoesophageal fistula; transthoracic echocardiography.