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Related Concept Videos

Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

66
The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
66
Pneumothorax-II01:27

Pneumothorax-II

503
Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
503
Endoscopic Studies II: Thoracocentesis01:26

Endoscopic Studies II: Thoracocentesis

683
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
683
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

66
Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
66
Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

257
Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
257
Pneumothorax-I01:26

Pneumothorax-I

646
A pneumothorax is a condition where air builds up in the space between the lung and the chest wall, causing the lung to collapse. This condition arises when air enters the space between the parietal and visceral pleura, disrupting the negative pressure essential for lung inflation. This can lead to a partial or complete collapse of the lung.
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
646

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Related Experiment Video

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Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model
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Pericardiocentesis Complicated by Pneumopericardium.

Tardu Özkartal1,2, Susanne A Schlossbauer1, Francesco Faletra1

  • 1Fondazione Cardiocentro Ticino, Lugano, Switzerland.

JACC. Case Reports
|July 28, 2021
PubMed
Summary

Pneumopericardium, or air in the pericardial sac, can rarely occur after pericardiocentesis due to drainage system defects. Immediate recognition and treatment are vital for patients with worsening hemodynamics post-procedure.

Keywords:
complicationechocardiographypericardial effusion

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Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Medical Case Reports

Background:

  • Pericardiocentesis is a procedure to drain pericardial effusion.
  • Complications can arise, necessitating careful monitoring.
  • Pneumopericardium is a rare but serious potential complication.

Purpose of the Study:

  • To report a rare case of pneumopericardium after pericardiocentesis.
  • To highlight the importance of recognizing this complication.
  • To emphasize the need for prompt management.

Main Methods:

  • Case report presentation.
  • Review of clinical presentation and diagnostic findings.
  • Discussion of potential causes and management strategies.

Main Results:

  • A case of pneumopericardium with trapped air in the pericardial sac following pericardiocentesis is described.
  • The likely cause was air leakage from a defective drainage system or accidental tube removal.
  • Hemodynamic worsening despite effusion evacuation was a key indicator.

Conclusions:

  • Pneumopericardium post-pericardiocentesis is a rare event.
  • Consider this diagnosis in patients with unexplained hemodynamic decline after the procedure.
  • Prompt identification and intervention are critical for patient outcomes.