Key result
Emergent pericardiocentesis in a patient with cardiac tamponade provided rapid hemodynamic relief due to a complication shifting pericardial effusion into the left pleural space.
Case Report (n=1)
A complication during emergent pericardiocentesis for cardiac tamponade paradoxically resulted in rapid hemodynamic relief due to fluid shifting into the pleural space.
Pericardiocentesis may relieve tamponade via pleural shift in select cases; leaves open need for prospective validation.
We present a case of 19-years-old patient was admitted to emergency service with abdominal pain, nausea, dyspnea and loss of appetite for one week and had prodromal symptoms for ten days. He was hypotensive, tachycardic and dyspneic. CT scan indicated large amount of peritoneal, pericardial and bilateral pleural fluid. With the diagnosis of cardiac tamponade; emergent pericardiocentesis (PC) was implemented by apical approach and quick hemodynamic relief was observed. It was understood that rapid haemodynamic response was a result of complication characterized by increase in left pleural fluid and decrease in pericardial effusion.
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İleri et al. (2016) conducted a case report in Cardiac tamponade (n=1). Emergent pericardiocentesis was evaluated on Hemodynamic response and procedural complication. Emergent pericardiocentesis in a patient with cardiac tamponade provided rapid hemodynamic relief due to a complication shifting pericardial effusion into the left pleural space.
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