Diagnostik und Therapie des Perikardergusses mit Hilfe der zweidimensionalen Dopplerechokardiographie

Abstract
In a case of a large acute pericardial effusion the diagnosis and the following pericardiocentesis under visible control by means of 2-dimensional echocardiography (2 D-E) are described. The effusion coat around the heart can clearly be localised. Furthermore, a new echocardiographic system is used combining 2 D-E and range-gated pulsed Doppler technique that allows the registration of flow-velocity curves in the superior vena cava and the recognition of a beginning cardiac tamponade. If indicated, the following pericardiocentesis can be done under direct ultrasonic control avoiding any risk of heart perforation.

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