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Iatrogenic Cardiac Tamponade During Endovascular Aortic and Mesenteric Stent Grafting: A Case Report. | LitMetric

Iatrogenic Cardiac Tamponade During Endovascular Aortic and Mesenteric Stent Grafting: A Case Report.

A A Case Rep

From the *Department of Anaesthesiology and Critical Care Medicine; †Department of Vascular Surgery; and ‡Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria.

Published: March 2017

AI Article Synopsis

  • The case describes a patient who experienced left ventricular perforation and cardiac tamponade during endovascular stent grafting.
  • The sudden change in central venous pressure and blood pressure during the procedure raised concerns, which were confirmed by echocardiography.
  • Despite initial attempts to stabilize the patient with pericardiotomy, an emergency sternotomy was necessary to address the perforation, highlighting the need for awareness of these serious complications among medical professionals.

Article Abstract

The authors report a case of left ventricular perforation and cardiac tamponade in a patient undergoing endovascular aortic and mesenteric stent grafting. During the procedure, the anesthetist noticed a sudden increase in central venous pressure and a decrease in blood pressure. Cardiac tamponade was suspected and confirmed by transesophageal echocardiography. Pericardiotomy resulted only in temporary stabilization. Emergency sternotomy revealed left ventricular perforation. Both anesthetists and radiologists have to be aware of such rare but severe complications of interventional procedures.

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Source
http://dx.doi.org/10.1213/XAA.0000000000000447DOI Listing

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