PMC3685359_01
Preoperative chest X-ray showing massive pleural fluid
WO-17-20642-g001.jpg
PMC3685359_01_WO-17-20642-g001.jpg
F0001
The child was initially referred for chest drainage because of the left pleural effusion (Fig. 1), but the chest drainage did not improve severe hypoxia caused by dyspnea at rest and shortness of breath, despite constant oxygen delivery.
Preoperative echocardiography showing acute tamponade with local heart impression
WO-17-20642-g002.jpg
PMC3685359_01_WO-17-20642-g002.jpg
F0002
In the echocardiography performed just before the intervention there was acute tamponade with local impression of the left atrium and the left ventricle, with functional mitral valve regurgitation grade II (MVI ++), without any congenital defects (Fig. 2).
Thoracic computed tomography image showing pleural fluid with left lung compression
WO-17-20642-g003.jpg
PMC3685359_01_WO-17-20642-g003.jpg
F0003
Postoperative computed tomography did not confirm pericardial infiltration and showed no clear evidence of mediastinal tumor (Fig. 3).