Pericardial thrombus and cardiac tamponade after pericardiocentesis with intact heart walls

A young patient affected by a lung neoplasm, presented at emergency department with cardiac tamponade, underwent pericardiocentesis with a prompt restoration of hemodynamic stability. An hour later, the patient presented again signs of tamponade, without evidence of fluids in the drainage that was l...

Full description

Saved in:
Bibliographic Details
Published in:Echocardiography (Mount Kisco, N.Y.) N.Y.), 2019-04, Vol.36 (4), p.803-805
Main Authors: Accadia, Maria, Di Maio, Marco, Iengo, Raffaele, Arnese, Mariarosaria, Cocchia, Renato, Scotto Di Uccio, Fortunato, Tuccillo, Andrea, Mercogliano, Giuseppe, Tuccillo, Bernardino
Format: Article
Language:English
Subjects:
Adult
Cardiac Tamponade - therapy
Echocardiography - methods
Humans
Male
Pericardiocentesis - adverse effects
Pericardium - diagnostic imaging
Pericardium - surgery
Recurrence
Thrombosis - diagnostic imaging
Thrombosis - etiology
Thrombosis - surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A young patient affected by a lung neoplasm, presented at emergency department with cardiac tamponade, underwent pericardiocentesis with a prompt restoration of hemodynamic stability. An hour later, the patient presented again signs of tamponade, without evidence of fluids in the drainage that was left in pericardial space. The echocardiography revealed an intrapericardial thrombus compressing the right chambers. An emergency pericardiotomy was performed and a large thrombus was removed from the pericardial space; cardiac walls were intact. Echocardiography played a pivotal role for the identification of a pericardial thrombus as a complication of pericardiocentesis.
ISSN:0742-2822
1540-8175
DOI:10.1111/echo.14276