Look at that LV collapse/compression!
#MedEd @grepmededpic.twitter.com/v0pkpoZ4zq
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Replying to @officialdrk12
I feel dumb but what's going on here? This doesn't look like normal tamponade to me..
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Replying to @grepmeded
Astute observation. This is a post op localized hemorrhagic effusion behind the left ventricle. The post op state is likely the reason why it’s not circumferential. Looks gnarley
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Replying to @officialdrk12
how interesting! Is it localized because the pericardium was violated? Is acute hemorrhage not usually more hyperdense? 
search "postop hemorrhagic pericardial effusion echo" ->https://www.grepmed.com/images/4879
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