Background: Pericardiocentesis is a therapeutic lifesaving intervention for patients presenting with cardiogenic shock due to pericardial effusion with signs of tamponade. Pericardial decompression syndrome (PDS) is a rare fatal complication that may occur after pericardiocentesis. . We report a case of a patient with idiopathic primary pulmonary hypertension who presented with massive pericardial effusion complicated with rapid hemodynamic and respiratory deterioration. Gradual therapeutic pericardiocentesis was done but progressive circulatory collapse occurred. Emergent veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was applied. Echocardiography revealed severe right ventricle failure. Unfortunately, the patient developed acute progressive thrombocytopenia and bilaterally diffuse subarachnoid hemorrhage after 4 days of ECMO support.
Conclusions: Therapeutic pericardiocentesis can be occasionally fatal in cases of significant pulmonary hypertension with massive pericardial effusion when complicated by pericardial decompression syndrome. Acute significant thrombocytopenia may occur with VA-ECMO support resulting in fatal bleeding.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9553751 | PMC |
| http://dx.doi.org/10.1155/2022/5440635 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Prehospital Trauma Compendium: Vasopressors in Trauma - a Position Statement and Resource Document of NAEMSP.
Prehosp Emerg Care
December 2024
Department of Emergency Medicine, North Memorial Health Level I Trauma Center, Minneapolis, Minnesota.
Acutely injured trauma patients may develop shock from several potential mechanisms, including hypovolemic shock from hemorrhage, neurogenic shock from traumatic brain injury (TBI) or spinal cord injury, obstructive shock from tension pneumothorax or pericardial tamponade, or a mix of several of these mechanisms. Regardless of the cause, restoration of adequate perfusion is of critical importance to reduce the morbidity and mortality of trauma patients with shock. Multiple interventions including hemorrhage control, volume resuscitation with intravenous fluids or blood products, and pleural decompression procedures are used to address some of these issues and are discussed elsewhere in the trauma compendium.
View Article and Find Full Text PDFAn infusion port for recurrent massive pericardial effusion: a case report.
Eur Heart J Case Rep
December 2024
Department of Cardiology, First Affiliated Hospital of Nanjing Medical University, 210008 Nanjing, China.
Background: Patients with recurrent massive pericardial effusion are at risk of recurrent cardiac tamponade. The current standard of care includes repeat pericardiocentesis or pericardial window when recurrent effusions cause haemodynamic compromise. Here, we report a case of a patient in whom an infusion port was used for drainage of recurrent pericardial effusion.
View Article and Find Full Text PDFThe Jack-in-the-Box: Pericardial Decompression Syndrome Managed by a Multidisciplinary Approach with Early Initiation of Veno-Arterial Extracorporeal Membrane Oxygenation: A Case Report.
Medicina (Kaunas)
October 2024
Department of Anaesthesia and Intensive Care, "Carol Davila" University of Medicine and Pharmacy, 37 Dionisie Lupu Street, 020021 Bucharest, Romania.
Post decompression syndrome (PDS) is a rare and life-threatening complication of pericardiocentesis, especially after rapid drainage of large amounts of pericardial fluid. We present the case of a 21-year-old man who presented with cardiac tamponade of unknown etiology. After preoperative optimization, surgical drainage of the pericardial effusion was performed and approximately 2500 mL of fluid was released over 30 min.
View Article and Find Full Text PDFFatal cerebral thrombosis after pericardiectomy.
Int J Emerg Med
October 2024
Department of Cardiac Surgery, Fuwai Hospital, Beijing, China.
Article Synopsis
- - The text discusses a case of a patient who developed fatal cerebral thrombosis following a safe pericardiectomy for constrictive pericarditis, highlighting a rare complication of the procedure.
- - Factors contributing to the thrombosis included a stiff pericardium affecting heart function, a pro-coagulable state from thermal effects during surgery, and rapid heart rates post-operation.
- - The authors recommend that patients undergoing pericardiectomy receive prompt and aggressive anticoagulation therapy to reduce the risk of thrombotic complications.
To Drain or Not to Drain? Pericardial Decompression Syndrome.
CASE (Phila)
August 2024
Houston Methodist DeBakey Heart & Vascular Center, Houston, Texas.
Article Synopsis
- PDS (post-pericardiotomy syndrome) can occur as a complication of pericardiocentesis.
- Caution is advised when performing pericardiocentesis on effusions where the duration is unknown.
- Using bedside transthoracic echocardiography (TTE) for regular assessments can help manage a careful and slow pericardiocentesis to reduce the risk of PDS.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!