Pericardial tamponade due to malpositioned cooling catheter

The case of a 60-year-old woman who received prehospital cardiopulmonary resuscitation for cardiopulmonary arrest is reported. In the hospital, coronary angiography was performed including percutaneous coronary intervention of the left anterior descending artery and placement of a cooling catheter....

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Bibliographic Details
Published in:Medizinische Klinik, Intensivmedizin und Notfallmedizin Intensivmedizin und Notfallmedizin, 2016-05, Vol.111 (4), p.320-324
Main Authors: Löwer, C, Niedeggen, A, Janssens, U
Format: Article
Language:ger
Subjects:
Cardiac Tamponade - diagnosis
Cardiac Tamponade - etiology
Cardiac Tamponade - therapy
Cardiopulmonary Resuscitation
Catheters, Indwelling
Diagnosis, Differential
Echocardiography, Transesophageal
Female
Heart Atria - injuries
Humans
Hypothermia, Induced - instrumentation
Middle Aged
Ventricular Fibrillation - therapy
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Summary:The case of a 60-year-old woman who received prehospital cardiopulmonary resuscitation for cardiopulmonary arrest is reported. In the hospital, coronary angiography was performed including percutaneous coronary intervention of the left anterior descending artery and placement of a cooling catheter. After approximately 30 min, severe hypotension progressively developed. Pericardial tamponade was identified and treated by pericardial puncture. Clear fluid was drained. Transesophageal echocardiography detected a perforation of the right atrial roof by the cooling catheter. Open surgery was performed immediately and the catheter was removed. The patient was discharged from the hospital without any further complication 10 days later.
ISSN:2193-6226
DOI:10.1007/s00063-015-0044-9