(1) A moderate anterior pericardial effusion was present, and right ventricular collapse was observed, suggesting pericardial tamponade .(2) Presence of retinal detachment makes the operative procedure more complex; these patients require some kind of tamponade at the end of surgery - either gas or silicone oil; and overall visual improvement is very guarded.(3) Pericardial involvement causing tamponade has only been reported in two previous patients.(4) At the time of transfer, the patient was again febrile with a new posterior nares hemorrhage that required packing and tamponade .(5) The only severe complication noted in these 151 episodes of bleeding treated by tamponade was pulmonary aspiration, which was detected in 10% of cases.(6) Acute management consists of resuscitation and control of bleeding by sclerotherapy or balloon tamponade(7) Thirteen of the patients were initially asymptomatic, seven presented with atypical chest pain and seven were admitted to the hospital with overt cardiac tamponade .(8) A doctor may confirm a diagnosis of cardiac tamponade by an ultrasound of the heart (echocardiogram).(9) Patients with chronic, large pericardial effusion may be asymptomatic but can develop cardiac tamponade precipitously.
