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Cardiac perforation with tamponade during cardiac catheterization

L Gehl, A S Iskandrian, I Goel

    Catheterization and Cardiovascular Diagnosis
    |January 1, 1982
    PubMed
    Summary

    Cardiac perforation during cardiac catheterization is rare, occurring in 0.04% of patients. Prompt diagnosis and intervention, including pericardiocentesis and surgery, led to full recovery in all affected individuals.

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    Area of Science:

    • Cardiology
    • Interventional Cardiology
    • Cardiac Surgery

    Background:

    • Cardiac catheterization is a common diagnostic and therapeutic procedure.
    • Cardiac perforation is a rare but serious complication.
    • Understanding the incidence and management of cardiac perforation is crucial.

    Observation:

    • A retrospective review of 6,675 adult patients undergoing cardiac catheterization was conducted.
    • Three patients (0.04% incidence) developed cardiac perforation and tamponade.
    • Perforations occurred in the left atrium (two) and right atrium (one).

    Findings:

    • All three patients presented with cardiac tamponade.
    • Hemodynamic confirmation of tamponade was obtained in two patients.
    • Pericardiocentesis was performed in all three patients, with two requiring subsequent emergency surgery.

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  • All patients experienced a full recovery.

    • Implications:

    • Cardiac perforation, though infrequent, necessitates prompt recognition and management.
    • Multidisciplinary care involving interventional cardiology and cardiac surgery is vital for favorable outcomes.
    • This study highlights the importance of preparedness for managing this rare complication.