Interventional closure in the treatment of cardiac cavity perforation caused by pericardial puncture: a case report

Figures

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  Figure 1.. Computed tomography scans of a male patient in his 70 s who was admitted with a primary complaint of chest pain and asthmatic breathing difficulties and subsequently underwent pericardiocentesis with catheter drainage. On the 10th day of admission, computed tomography scans showed the distal end of the pericardial puncture drainage tube located within the cardiac cavity: (A) pericardial drainage tube passes through the left atrium; (B) pericardial drainage tube passes through the left atrium; (C) pericardial drainage tube is located in the left ventricle.

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  Figure 2.. The intervention to remove the pericardial puncture drainage tube and apply a plug to seal the perforation in a male patient in his 70 s who was admitted with a primary complaint of chest pain and asthmatic breathing difficulties and subsequently underwent pericardiocentesis with catheter drainage: (A) a left ventricular catheter-aortic valve-ascent of aorta-aortic arch-descending aorta-right femoral artery pathway was established; (B) the plug in the left ventricular wall tunnel was appropriately positioned, sized and shaped without contrast agent leakage; (C) coronary angiography revealed no signs of compression near the plug site in the anterior descending branch; (D) the delivery sheath for removing left chest wall ADO II plug was withdrawn.