Key result
Subxiphoid pericardiocentesis in a postoperative cardiac surgery patient was complicated by left internal mammary artery injury, leading to life-threatening hemothorax and hypovolemic shock.
Why the study?
To heighten awareness that left internal mammary artery injury can lead to a life-threatening hemothorax after pericardiocentesis in postoperative cardiac surgery patients.
Case Report (n=1)
No
This case highlights that subxiphoid pericardiocentesis can rarely cause LIMA injury leading to life-threatening hemothorax, emphasizing the need for multimodality imaging in patients presenting with shock post-procedure.
Alerts clinicians to rare LIMA injury causing hemothorax post-pericardiocentesis; leaves open optimal imaging protocols in cardiac surgery.
Multimodality imaging is recommended in patients in shock after seemingly uneventful pericardiocentesis. The aim of this study was to heighten awareness that LIMA injury can lead to a life-threatening hemothorax in postoperative cardiac surgery patients.
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Oudeman et al. (2021) conducted a case report in Pericardial effusion post-cardiac surgery (n=1). Subxiphoid pericardiocentesis was evaluated. Subxiphoid pericardiocentesis in a postoperative cardiac surgery patient was complicated by left internal mammary artery injury, leading to life-threatening hemothorax and hypovolemic shock.
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