Key result
Emergent pericardiocentesis with an apical approach in a patient with cardiac tamponade resulted in rapid hemodynamic relief due to a complication of increasing left pleural effusion.
Case Report (n=1)
A case report demonstrating an unusual complication of emergent pericardiocentesis (increased left pleural effusion) that paradoxically resulted in rapid hemodynamic relief in a patient with cardiac tamponade.
Apical pericardiocentesis may relieve tamponade in select cases with pleural effusion; case report leaves open optimal approach and safety.
We present a case of 19 years old patient whom was admitted to emergency service with abdominal pain and dyspnea and had prodromal symptoms for about ten days. He was hypotensive, tachycardic and dyspneic. CT scan showed large amount of free peritoneal, pericardial and bilateral pleural fluid. With the diagnosis of cardiac tamponade; emergent pericardiocentesis was done with apical approach and quick hemodynamic relief was observed. It was understood that rapid haemodynamic response was a result of complication, characterized by increasing of left pleural effusion.
No takes yet. Share an insight, caveat, or question.
İleri et al. (2018) conducted a case report in Cardiac tamponade (n=1). Emergent pericardiocentesis with apical approach was evaluated on Hemodynamic relief and procedural complications. Emergent pericardiocentesis with an apical approach in a patient with cardiac tamponade resulted in rapid hemodynamic relief due to a complication of increasing left pleural effusion.
Synapse has enriched 2 closely related papers on similar clinical questions. Consider them for comparative context: