An useful complication of emergent pericardiocentesis procedure in cardiac tamponade: Case report
Cardiac tamponade is a life-threatening condition and requires emergent treatment. A variety of percutaneous or surgical therapeutic methods have been applied. Pericardiosyntesis is a minimally invasive, easy to perform procedure and has relatively shorter inhospital stay and lower complication rate than surgical operation. Apical, subxiphoid and other sides are area of interest in procedure. In our clinic, most of the PC are done by apical approach with lower complication rates. In this case, a complication happened during emergent PC which is likely to occur. Despite symptomatic and haemodynamic relief of patient, immediate echocardiographic study and CT scan was taken due to continuing of clinical suspicion. Thoracal drainage tube inserted fastly as a result of increase in left pleural effusion.
We think that increase in the amount of pleural fluid is an acceptable result confronting with the life threatening feature of tamponade. Mutual result of tamponade, haemodynamic parameters, clinical backround of patient as well as collaborative assesment of imaging techniques are contributing to the outcome.