0 a sudden and uncontrolled expression of strong emotion:
1 a flow of a gas through a small hole in a container
Because of this, he was referred to a cardiologist, who found signs of pericardial effusion, which was confirmed by echocardiography.
This patient suffered from recurrent pericardial effusions and the susceptibility differences may be caused by various layers of deposits of fibrin.
This mirrors the course of our surviving fetus in whom a pulsatile mass was a persistent feature despite the resolution of the effusion.
Cardiac enlargement as judged by chest x-ray (present in 92% of patients) was more sensitive than physical and electrocardiographic findings in the detection of effusions.
In patients with large pericardial effusions, however, clear identification of the site of drainage of the coronary sinus was difficult.
The method has now been extended for drainage of pleural effusions of varied aetiologies, and even pneumothorax in small patients, with the same favourable results.
Post-mortem evidence of a diffuse toxic or infectious process is pleural effusions, soft tissue oedema and necrosis at the injection site.
Two patients had bilateral pleural effusions that resolved during the in-hospital period and one a left pneumothorax without consequences.