PMC6548108_01
Massive pericardial effusion with right ventricular collapse (A), plethoric inferior vena cava (B), and globally expanded heart (C) after pericardiocententesis
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F1
We could observe the right ventricular collapse during diastole (Figure 1 (A)) and plethoric IVC (Figure 1 (B)) and this was an indication for an emergency pericardiocentesis although there was a lack of specific and widely used catheters, namely multi-holed or pigtail. At this point, her heart had globally expanded within the pericardium, as seen on USG (Figure 1 (C)).