case_images: PMC8487396_01
case_images: (a) Chest radiograph showing small right pleural effusion on admission. (b) Chest radiograph post-CPR showing large left pleural effusion.
case_images: CRICC2021-9932485.001.jpg
case_images: PMC8487396_01_CRICC2021-9932485.001.jpg
case_images: fig1
case_images: On imaging, chest radiograph (CXR) portrayed bilateral pulmonary vascular congestion with small bilateral pleural effusions (Figure 1(a)). The patient's CXR postresuscitation showed worsening left pleural effusion without pneumothorax (Figure 1(b)).
case_images: Computer tomography scan on admission with large pericardial effusion.
case_images: CRICC2021-9932485.002.jpg
case_images: PMC8487396_01_CRICC2021-9932485.002.jpg
case_images: fig2
case_images: Computerized tomography (CT) scan of the chest revealed large pericardial effusion and small bilateral pleural effusions right greater than the left side (Figure 2).
case_images: (a) Large pericardial effusion prior to cardiac arrest. (b) Post-CPR resolution of pericardial effusion and large left pleural effusion.
case_images: CRICC2021-9932485.003.jpg
case_images: PMC8487396_01_CRICC2021-9932485.003.jpg
case_images: fig3
case_images: Bedside transthoracic echocardiogram confirmed moderate to large pericardial effusion with right ventricular collapse concerning for tamponade (Figure 3(a), Video 1). Transthoracic echocardiogram postresuscitation revealed left ventricular ejection fraction of 61-65% with near complete resolution of the pericardial effusion and new left pleural effusion (Figure 3(b), Video 2).