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Reversible severe biventricular dysfunction postpericardiocentesis for tuberculous pericardial tamponade
Rashed Al Banna1, Aysha Husain
1Internal Medicine Department, Salmaniya Medical Complex, Manama, Bahrain. abdullarashed@yahoo.com
BMJ Case Reports
|June 13, 2012
Summary
A rare case of temporary biventricular systolic dysfunction occurred after pericardicentesis in a young male with tuberculous pericardial tamponade. The heart function recovered spontaneously, highlighting a unique post-procedure complication.
Area of Science:
- Cardiology
- Infectious Diseases
- Critical Care Medicine
Background:
- Pericardial effusion and tamponade can arise from various etiologies, including tuberculosis.
- Pericardiocentesis is a standard procedure for relieving cardiac tamponade.
- Transient cardiac dysfunction post-procedure is uncommon.
Observation:
- A young male presented with severe pericardial tamponade due to tuberculosis.
- Following pericardiocentesis, the patient developed transient severe biventricular systolic dysfunction.
- Cardiac function showed spontaneous recovery without specific intervention for the dysfunction.
Findings:
- Tuberculous pericardial effusion can lead to tamponade requiring pericardiocentesis.
- Post-pericardiocentesis biventricular systolic dysfunction is a rare but possible complication.
- The dysfunction appears to be transient and potentially reversible.
Implications:
- This case expands the understanding of potential complications following pericardiocentesis.
- It highlights the importance of monitoring cardiac function post-procedure, especially in complex cases.
- Further research into the pathogenesis of this transient dysfunction is warranted.
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