Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Spontaneous pericardial tamponade during PTCA

J G Howlett1, R J Teskey, B J O'Neill

  • 1Department of Medicine, Victoria General Hospital, Dalhousie University, Halifax, Nova Scotia.

The Canadian Journal of Cardiology
|November 1, 1995
PubMed
Summary

This case report details acute hemorrhagic pericardial tamponade after percutaneous transluminal coronary angioplasty, likely caused solely by heparin. Treatment involved pericardial drainage and protamine sulfate.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

The use of circular external fixators in the management of lower limb trauma in Dublin: a single surgeon's 20-year experience.

Irish journal of medical science·2014
Same author

Consultant and trainee attitudes towards supervision of operative procedures in the UK and Ireland.

Irish medical journal·2014
Same author

Re: Preparing new doctors for clinical practice: an evaluation of pre-internship training.

Irish medical journal·2013
Same author

Memory for pictures and words as a function of level of processing: Depth or dual coding?

Memory & cognition·2013
Same author

Defineability as an index of word meaning.

Journal of psycholinguistic research·2013
Same author

Publication rates of presentations at the Irish Orthopaedic Association annual meeting.

Irish journal of medical science·2013

Area of Science:

  • Cardiology
  • Rheumatology
  • Hematology

Background:

  • Percutaneous transluminal coronary angioplasty (PTCA) is a common procedure for coronary artery disease.
  • Rheumatoid arthritis can be associated with various systemic complications, including pericarditis.
  • Heparin is a widely used anticoagulant, but its use can lead to bleeding complications.

Observation:

  • A patient with rheumatoid arthritis developed acute hemorrhagic pericardial tamponade following a successful PTCA.
  • The patient received high doses of intravenous heparin, and had a high activated clotting time.
  • There was no evidence of coronary artery rupture, recent use of other anticoagulants, or thrombolytic agents.

Findings:

  • The tamponade was attributed solely to heparin administration, a rare complication.

Related Experiment Videos

  • Emergency pericardial drainage and intravenous protamine sulfate were successful treatments.
  • Rheumatoid nodule hemorrhage was considered but ruled out by MRI.

    • Implications:

    • This case highlights a rare but serious complication of heparin therapy in patients undergoing PTCA.
    • Physicians should consider heparin-induced hemorrhagic pericardial tamponade in patients with unexplained tamponade post-PTCA.
    • This underscores the importance of careful monitoring of anticoagulation in patients with rheumatoid arthritis undergoing cardiac procedures.