VExUS in the Management of Constrictive Pericarditis: A Case Report.
DOI:
https://doi.org/10.24950/rspmi.2098Keywords:
Hyperemia, Pericarditis, Constrictive, Point-of- Care Systems, Ultrasonography, DopplerAbstract
We present the case of a patient admitted to the intensive
care unit with hypoxia and renal failure one month following
pericardiectomy for constrictive pericarditis with a post-operative course complicated by oscillating renal dysfunction. The use of point of care ultrasound and particularly venous Doppler indices allowed the treating team to identify physiological disturbances and optimize management. This case illustrates how bedside analysis of physiopathology can demystify the relationship between fluid management and renal dysfunction which can be a challenge to accurately identify without the tools to assess venous congestion.
Downloads
References
Damman K, van Deursen VM, Navis G, Voors AA, van Veldhuisen DJ, Hillege HL. Increased central venous pressure is associated with impaired renal function and mortality in a broad spectrum of patients with cardiovascular disease. J Am Coll Cardiol. 2009;53:582-8. doi: 10.1016/j.jacc.2008.08.080.
Beaubien-Souligny W, Rola P, Haycock K, Bouchard J, Lamarche Y, Spiegel R, et al. Quantifying systemic congestion with Point-Of-Care ultrasound: development of the venous excess ultrasound grading system. Ultrasound J. 2020;12:16. doi: 10.1186/s13089-020-00163-w.
Viana-Rojas JA, Argaiz E, Robles-Ledesma M, Arias-Mendoza A, Nájera-Rojas NA, Alonso-Bringas AP, et al. Venous Excess Ultrasound Score and Acute Kidney Injury in Patients with Acute Coronary Syndrome. Eur Heart J Acute Cardiovasc Care. 2023:zuad048. doi: 10.1093/ehjacc/zuad048.
Ohara H, Yoshihisa A, Horikoshi Y, Ishibashi S, Matsuda M, Yamadera Y, et al. Renal Venous Stasis Index Reflects Renal Congestion and Predicts Adverse Outcomes in Patients With Heart Failure. Front Cardiovasc Med. 2022;9:772466. doi: 10.3389/fcvm.2022.772466.
Downloads
Published
Versions
- 2023-09-27 (2)
- 2023-07-11 (1)
How to Cite
Issue
Section
License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Copyright (c) 2023 Medicina Interna