Key result
Endoscopic ultrasonography-guided transesophageal pericardiocentesis successfully resolved cardiac tamponade in a patient with a posterior pericardial effusion.
Why the study?
Does endoscopic ultrasonography-guided transesophageal pericardiocentesis resolve tamponade physiology in patients with posteriorly located pericardial effusions?
Case Report (n=1)
Does endoscopic ultrasonography-guided transesophageal pericardiocentesis resolve tamponade physiology in patients with posteriorly located pericardial effusions?
Endoscopic ultrasonography-guided transesophageal pericardiocentesis is a feasible and promising novel therapeutic option for posteriorly located pericardial effusions causing tamponade.
May offer an alternative for posterior effusions inaccessible transthoracically; leaves open safety and efficacy questions for prospective study.
Endoscopic ultrasonography-guided transesophageal pericardiocentesis was performed for a posteriorly located effusion not amenable to transthoracic drainage in a 58-year-old woman with a history of recurrent breast adenocarcinoma who presented with dyspnea. The patient had a pericardial effusion that resulted in cardiac tamponade. Transthoracic pericardiocentesis was unsuitable because of the posterior location of the effusion. Pericardiocentesis via the transesophageal route was performed. The pericardial sac was punctured with a 19-gauge needle, and 245 mL of pericardial fluid were aspirated, resulting in the resolution of the tamponade physiology. Endoscopic ultrasonography-guided transesophageal drainage is a novel and promising therapeutic option for posteriorly located pericardial effusions.
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Loch et al. (2023) conducted a case report in Posteriorly located pericardial effusion with cardiac tamponade (n=1). Endoscopic ultrasonography-guided transesophageal pericardiocentesis was evaluated on Resolution of tamponade physiology. Endoscopic ultrasonography-guided transesophageal pericardiocentesis successfully resolved cardiac tamponade in a patient with a posterior pericardial effusion.
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