Pericardial effusion "in snowfall"
Amal El Ouarradi
Corresponding author: Amal El Ouarradi, Department of Cardiology, Mohammed VI University of Health Sciences, Cheikh Khalifa Hospital, Casablanca, Morocco 
Received: 01 Mar 2020 - Accepted: 08 Apr 2020 - Published: 13 Apr 2020
Domain: Cardiology
Keywords: Leukemia, pericardial effusion, snowfall, echocardiography, chemotherapy
©Amal El Ouarradi et al. PAMJ Clinical Medicine (ISSN: 2707-2797). This is an Open Access article distributed under the terms of the Creative Commons Attribution International 4.0 License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Cite this article: Amal El Ouarradi et al. Pericardial effusion "in snowfall". PAMJ Clinical Medicine. 2020;2:143. [doi: 10.11604/pamj-cm.2020.2.143.22095]
Available online at: https://www.clinical-medicine.panafrican-med-journal.com//content/article/2/143/full
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Pericardial effusion "in snowfall"
Pericardial effusion "in snowfall"
Amal El Ouarradi1,&
1Department of Cardiology, Mohammed VI University of Health Sciences, Cheikh Khalifa Hospital, Casablanca, Morocco
&Corresponding author
Amal El Ouarradi, Department of Cardiology, Mohammed VI University of Health Sciences, Cheikh Khalifa Hospital, Casablanca, Morocco
A 23-year-old young man with discovery acute leukemia admitted for pre-chemotherapy echocardiography. Transthoracic echocardiography (four cavity (A) and two cavity (B)) found good systolic function of the left ventricle with moderate circumferential pericardial effusion containing hyperechoic micronodules give the appearance like "snowfall" without hemodynamic repercussions. This aspect of pericardial effusion, never described, can be paraneoplastic or reactive due to the leukemia. The evolution after chemotherapy was favorable with disappearance of hyperechoic nodules and then the effusion.
Figure 1 : transthoracic echocardiogram : A) four cavity view ; B) two cavity view : pericardial effusion "in snowfall"
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