Key result
Echocardiography successfully identified an intrapericardial thrombus compressing the right chambers as a complication of pericardiocentesis in a young patient with cardiac tamponade.
Case Report (n=1)
Echocardiography is crucial for identifying pericardial thrombus as a rare complication of pericardiocentesis even when cardiac walls are intact.
Post-pericardiocentesis recurrent tamponade in malignancy may indicate thrombus; echocardiography supports urgent intervention but leaves open routine screening.
A young patient affected by a lung neoplasm, presented at emergency department with cardiac tamponade, underwent pericardiocentesis with a prompt restoration of hemodynamic stability. An hour later, the patient presented again signs of tamponade, without evidence of fluids in the drainage that was left in pericardial space. The echocardiography revealed an intrapericardial thrombus compressing the right chambers. An emergency pericardiotomy was performed and a large thrombus was removed from the pericardial space; cardiac walls were intact. Echocardiography played a pivotal role for the identification of a pericardial thrombus as a complication of pericardiocentesis.
No takes yet. Share an insight, caveat, or question.
Accadia et al. (2019) conducted a case report in Cardiac tamponade (n=1). Pericardiocentesis was evaluated. Echocardiography successfully identified an intrapericardial thrombus compressing the right chambers as a complication of pericardiocentesis in a young patient with cardiac tamponade.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: