Paradoxical Hemodynamic Collapse After Subxiphoid Pericardial Window. (15th March 2015)

• Record Type: Journal Article
• Authors: Liao, Benita T.; Lo, Sansan S.
• Is Part Of: A & A case reports. Volume 4:Number 6(2015)
• Publication Date: 2015-03-15
• Subjects: Anesthesiology -- Periodicals; Anesthesia -- Periodicals; Anesthesiology; Analgesia; Anesthesiology; Periodicals; 617.9605
• DOI: 10.1213/XAA.0000000000000120
• Languages: English
• ISSNs: 2325-7237

Abstract

<abstract> <title> <x xml:space="preserve">Abstract</x> </title> <sec> <p>A 56-year-old man with a history of coronary artery disease, 4 months of cough and shortness of breath, a new lung mass, and increasing hypoxemia presented to the operating room emergently for a subxiphoid pericardial window for cardiac tamponade. After 1200 mL of pericardial fluid was drained, the patient immediately went into acutely decompensated right heart failure as seen on a transesophageal echocardiogram. The patient had cardiovascular collapse refractory to high-dose vasopressors, necessitating emergent venous-arterial extracorporeal membrane oxygenation for successful resuscitation.</p> </sec> </abstract>