ISRAEL STEINBERG, M.D., F.A.C.P.
Recent observations following angiocardiography in patients with pericardial effusions reaffirm that small effusions accumulate in the infracardiac diaphragmatic portion of the pericardial sac. With larger effusions, the fluid next accumulates anteriorly in the retrosternal area because of fixation of the pericardium to the great vessels above, and by the inferior vena cava as it pierces the diaphragm below. With massive effusions, the lateral pericardial pouches become distended. In light of this information, a note concerning Ewart's sign and thoracic paracentesis through the posterior approach seems warranted.
Ewart in 1896,1 and Pins2 before him, called attention to the presence of an
Learn more about subscription options.
Register Now for a free account.
STEINBERG I. PERICARDITIS WITH EFFUSION: NEW OBSERVATIONS, WITH A NOTE ON EWART'S SIGN(PERICARDITIS WITH EFFUSION: NEW OBSERVATIONS, WITH A NOTE ON EWART'S SIGN*†)(PERICARDITIS WITH EFFUSION: NEW OBSERVATIONS, WITH A NOTE ON EWART'S SIGN*†). Ann Intern Med. 1958;49:428–437. doi: 10.7326/0003-4819-49-2-428
Download citation file:
Published: Ann Intern Med. 1958;49(2):428-437.
Cardiology, Pericardial Disease.
Results provided by:
Copyright © 2017 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only