Late-Onset Postpneumonectomy Empyema Presenting as Right-Sided Heart Failure: Extrinsic Right Atrial Compression.
10.4070/kcj.2012.42.4.274
- Author:
June NAMGUNG
1
;
Jae Jin KWAK
;
Hyunmin CHOE
;
Sung Uk KWON
;
Joon Hyung DOH
;
Sung Yun LEE
;
Ji Yoon RYOO
;
Gham HUR
;
Won Ro LEE
Author Information
1. Division of Cardiology, Department of Internal Medicine, Inje University College of Medicine, Ilsan Paik Hospital, Goyang, Korea. jnamgung@paik.ac.kr
- Publication Type:Case Report
- Keywords:
Empyema, pleural;
Right-sided heart failure
- MeSH:
Aortic Aneurysm;
Drainage;
Empyema;
Empyema, Pleural;
Fatal Outcome;
Heart;
Heart Atria;
Heart Failure;
Hemodynamics;
Pneumonectomy;
Respiratory Paralysis;
Tuberculosis, Pulmonary
- From:Korean Circulation Journal
2012;42(4):274-277
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
