PMC8282392_01
Echocardiogram on the day of the procedure demonstrating a large pericardial effusion. (a) Diagram of the echocardiographic view of the right ventricle and the pulmonary artery used to determine the compression caused by the drain. (b, c) Color Doppler echocardiogram, with and without labels, of the flow obstruction in the pulmonary artery, evident by no blood flow (color) seen distal to the drain. (d) There is improvement of the pulmonary artery flow after the drain was retracted, showing blood flow (color) along all the pulmonary artery, when compared with prior panels.
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fig1
Echocardiography consequently demonstrated unobstructed antegrade flow through the pulmonary artery (Figure 1).
Omphalocele and drain images: (a) the patient's omphalocele at birth. (b) The Pigtail catheter placed in the pericardium is seen in the omphalocele sac, demonstrating continuity of the pericardium with the abdominal cavity. (c) Pericardial drain is seen in chest X-ray coursing around the cardiac silhouette and into the omphalocele. (d) The pigtail is retracted 2 cm with adequate draining and outside the omphalocele.
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fig2
The drain was pulled further back 2 cm and sutured in place without any other complications (Figure 2).