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Cardiac perforation with tamponade during cardiac catheterization
Catheterization and Cardiovascular Diagnosis
|January 1, 1982
Insights
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.
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.
- 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.
Abstract:
Among 6,675 adult patients undergoing cardiac catheterization in our institution, three patients developed cardiac perforation and tamponade (incidence 0.04%). Two perforations involved the left atrium, and one the right atrium. Tamponade developed in the three patients. Hemodynamic confirmation of tamponade was available in two patients. Pericardiocentesis was performed in all three patients. Two patients required emergency surgery. All patients recovered.