Pericardial Echocardiography

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To the editor: I wish to make the following comments on the published echocardiogram (Figure 1A) in the brief report of Orlando, Moyer, and Barnett (1). They state that “Pericardiocentesis was attempted because of her compromised state. No pericardial fluid was obtained, and thoracotomy was done. At thoracotomy the pericardium was thickened with dense fibrotic tissue occupying the space between it and epicardium.”

How do the authors explain absence of thickening in the epicardium and pericardium shown in Figure 1A after damping? To exclude a false positive effusion (2), was a scan obtained from the left ventricle to the left

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