Rare Case of Right Ventricular Perforation during Pericardiocentesis: A Case Report
O. Moufid, B. Abdalani, I. Abbassi, M. BOUZIANE, M. Bennouna, R. HABBAL
Cardiology and Angiology: An International Journal · pp. 130–133 · Published 23 May 2024
10.9734/ca/2024/v13i2414Abstract
Iatrogenic cardiac injuries are potential complications arising from diagnostic and therapeutic procedures in cardiology, including interventions like cardiac catheterization, coronary angioplasty, and pacemaker implantation [1,2]. Pericardial tamponade can occur, with a prevalence of 0.12%, often requiring urgent intervention such as pericardiocentesis. Patients with chronic pericardial effusion and signs of tamponade may adapt to gradual fluid accumulation, but vigilance for iatrogenic injuries remains crucial. Transthoracic echocardiography aids in rapid diagnosis and guides timely interventions [3]. Therefore, the right ventricular perforation seems to be one of these complications, and it may occur during pericardiocentesis. Surgical approaches for acute tamponades vary, with median sternotomy enabling comprehensive exploration [4]. Echocardiographic monitoring can signal clinical deterioration, necessitating prompt fluid management and early intervention to optimize outcomes. Although, the therapies in right ventricular perforation are variable. In our case, we emphasize about the conservative approach.
References (9)
- 1 2015 ESC Guidelines for the diagnosis and management of pericardial diseases [DOI]
- 2 Diagnosis, management, and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention [DOI]
- 3 Management of Cardiac Tamponade: A Comperative Study between Echo-Guided Pericardiocentesis and Surgery—A Report of 100 Patients [DOI]
- 4 Early and Long‐Term Outcomes in Patients Undergoing Cardiac Surgery Following Iatrogenic Injuries During Percutaneous Coronary Intervention [DOI]
- 5 Role of Echocardiography in the Treatment of Cardiac Tamponade [DOI]
- 6 Penetrating trauma to the heart: a relatively innocent injury.
- 7 TRAUMATIC HEART DISEASE [DOI]
- 8 Emergency Surgery for Iatrogenic Injuries attributable to Percutaneous Coronary Interventions: When Planning and Time Matter [DOI]
- 9 [Endomyocardial biopsy].
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