Left Internal Mammary Artery Transection: A Rare Complication of Pericardiocentesis

Raunak Nair1, Oscar Perez1, Bassel Akbik2

  • 1Internal Medicine, Cleveland Clinic - Fairview Hospital, Cleveland, USA.

Cureus
|February 28, 2020
PubMed

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.