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Left Internal Mammary Artery Transection: A Rare Complication of Pericardiocentesis
Raunak Nair1, Oscar Perez1, Bassel Akbik2
1Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA.
Insights
Pericardiocentesis, a procedure to drain pericardial fluid, can rarely cause hemorrhagic effusion and hemodynamic compromise. This case highlights an unusual complication of this common cardiac intervention.
Area of Science:
- Cardiology
- Interventional Cardiology
- Cardiac Procedures
Background:
- Pericardiocentesis is a key intervention for managing pericardial effusion and tamponade.
- It involves aspirating fluid from the pericardial sac to relieve pressure.
- This procedure is typically considered safe and effective.
Observation:
- This case report details an uncommon complication following pericardiocentesis.
- The complication observed was the development of hemorrhagic pericardial effusion.
- This led to significant hemodynamic compromise in the patient.
Findings:
- The study identifies a rare but serious complication of pericardiocentesis.
- Hemorrhagic pericardial effusion and subsequent hemodynamic compromise were noted.
- This underscores the potential risks associated with the procedure.
Implications:
- Clinicians should be aware of this potential complication of pericardiocentesis.
- Prompt recognition and management are crucial for patients experiencing adverse events.
- This case may inform procedural guidelines and patient counseling.
Abstract:
Pericardiocentesis is a procedure performed to aspirate fluid from the pericardial space. It is most often performed as an acute therapeutic procedure in cases of massive pericardial effusion or pericardial tamponade. Our case describes an unusual complication of pericardiocentesis leading to hemorrhagic pericardial effusion and hemodynamic compromise.
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