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Cardiac perforation with tamponade during cardiac catheterization
Catheterization and Cardiovascular Diagnosis
|January 1, 1982
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.
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.