VExUS in the Management of Constrictive Pericarditis: A Case Report.

Authors

DOI:

https://doi.org/10.24950/rspmi.2098

Keywords:

Hyperemia, Pericarditis, Constrictive, Point-of- Care Systems, Ultrasonography, Doppler

Abstract

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.

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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.

Published

2023-07-11 — Updated on 2023-09-27

Versions

How to Cite

1.
Abu-Naeima E, Amin Abu-Sheaishaa Shalaby M, Rola P. VExUS in the Management of Constrictive Pericarditis: A Case Report. RPMI [Internet]. 2023 Sep. 27 [cited 2024 May 21];30(3):195-200. Available from: https://revista.spmi.pt/index.php/rpmi/article/view/2098

Issue

Section

Case Reports