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Updated: Feb 8, 2026

Remote Magnetic Navigation for Accurate, Real-time Catheter Positioning and Ablation in Cardiac Electrophysiology Procedures
Published on: April 21, 2013
Delayed cardiac tamponade after catheter ablation therapy due to a Valsalva manoeuvre
Maria Sol Siliato-Robles1, Juan Manuel Gracia-Baena1, Jose Carlos Sureda-Barbosa1
1Cardiac Surgery Department, University Hospital Vall d'Hebron, Barcelona, Spain.
Abstract:
A 23-year-old man, diagnosed with Wolff-Parkinson-White syndrome and who had undergone several catheter ablations, presented 2 months after the most recent ablation with cardiac tamponade following physical exertion. Emergency surgery revealed a perforation between the inferior vena cava and the right atrium. This perforation was repaired with a bovine pericardium patch. To our knowledge, this is the first case of delayed cardiac tamponade after catheter ablation due to a Valsalva manoeuvre (such as weightlifting) in a patient with a normal international normalized ratio and normal platelet count.
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