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Post-traumatic internal mammary artery pseudoaneurysm: A rare complication of pericardiocentesis

Sanjay Mehra1, Ashesh Buch1, Crystal N Truong2

  • 1Department of Cardiovascular Sciences, East Carolina University, Greenville, NC.

Radiology Case Reports
|May 4, 2016
PubMed

Insights

Ultrasound-guided pericardiocentesis significantly reduces complications compared to traditional methods. This case highlights a rare internal mammary artery pseudoaneurysm complication following the procedure.

Area of Science:

  • Cardiology
  • Medical Imaging
  • Interventional Procedures

Background:

  • Percutaneous pericardiocentesis historically had high mortality and complication rates.
  • Ultrasound (US) guidance has improved procedural safety and efficacy.

Purpose of the Study:

  • To illustrate the benefits of US-guided pericardiocentesis.
  • To report a rare complication of internal mammary artery pseudoaneurysm after pericardiocentesis.

Main Methods:

  • Utilizing ultrasound to visualize the heart and surrounding structures.
  • Guiding pericardiocentesis to determine effusion characteristics and optimal access.
  • Reviewing a case of posttraumatic internal mammary artery pseudoaneurysm.

Main Results:

  • Ultrasound guidance allows for precise localization of pericardial effusions.
  • It aids in identifying vital structures and optimizing needle trajectory.
  • A rare case of internal mammary artery pseudoaneurysm was identified post-procedure.

Conclusions:

  • Ultrasound-guided pericardiocentesis is a safer alternative to traditional methods.
  • Physicians must remain vigilant for rare complications like pseudoaneurysms.
  • This case underscores the importance of anatomical awareness during pericardiocentesis.

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