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International Expert Consensus and Recommendations for Neonatal Pneumothorax Ultrasound Diagnosis and Ultrasound-guided Thoracentesis Procedure
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Left ventricular puncture during thoracentesis.

Daniel Farinas Lugo1, Prasad Chalasani1, Veronica Del Calvo1

  • 1Department of Cardiology, College of Medicine, Florida State University, Tallahassee, Florida, USA.

BMJ Case Reports
|April 11, 2019
PubMed
Summary
This summary is machine-generated.

A rare complication of thoracentesis, left ventricular puncture, occurred in a patient with heart disease. Prompt thoracotomy was required for catheter removal and cardiac repair.

Keywords:
cardiovascular medicineinterventional cardiologyinterventional radiologyradiologyrespiratory medicine

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Complications

Background:

  • Thoracentesis is a common procedure for pleural effusion management.
  • Complications, though rare, can be serious.

Observation:

  • A 74-year-old woman with dilated ischemic heart disease underwent routine ultrasound-guided thoracentesis.
  • Despite adherence to protocol, the procedure resulted in accidental left ventricular puncture.
  • The patient experienced rapid hemodynamic instability post-procedure.

Findings:

  • This case represents the first reported instance of left ventricular puncture during thoracentesis.
  • The cardiac injury necessitated immediate surgical repair via thoracotomy.
  • Successful catheter removal and left ventricular wall repair were achieved.

Implications:

  • Highlights the potential for rare but severe complications even with ultrasound guidance.
  • Underscores the importance of vigilance and preparedness for cardiac injury during thoracentesis.
  • May inform procedural modifications or patient selection in high-risk cardiac patients.