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KMID : 0368120120420040274
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Korean Circulation Journal
2012 Volume.42 No. 4 p.274 ~ p.277
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Late-Onset Postpneumonectomy Empyema Presenting as Right-Sided Heart Failure: Extrinsic Right Atrial Compression
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Namgung June
Kwak Jae-Jin
Choe Hyun-Min
Kwon Sung-Uk
Doh Joon-Hyung
Yi Seong-Yoon
Ryoo Ji-Yoon
Hur Gham
Lee Won-Ro
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Abstract
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Although it is rare, the right atrium can be encroached on by abnormal mediastinal structures, including aortic aneurysms, carcinomas, hepatic cysts and diaphragmatic paralysis. Extrinsic compression of the right atrium causes significant hemodynamic compromise and can lead to fatal outcomes. We describe the case of a 66-year old man with a past history of pulmonary tuberculosis that had undergone right pneumonectomy 40 years previously. He then presented with signs and symptoms of right-sided heart failure. These new signs and symptoms were recognized to be secondary to extrinsic compression of the right atrium, which was due to late-onset postpneumonectomy empyema, and the signs and symptoms were successfully relieved by performing open drainage of the empyema.
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KEYWORD
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Empyema, pleural, Right-sided heart failure
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FullTexts / Linksout information
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Listed journal information
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