Pericardial thrombus and cardiac tamponade after pericardiocentesis with intact heart walls. Issue 4 (6th February 2019)

• Record Type: Journal Article
• Authors: Accadia, Maria; Di Maio, Marco; Iengo, Raffaele; Arnese, Mariarosaria; Cocchia, Renato; Scotto Di Uccio, Fortunato; Tuccillo, Andrea; Mercogliano, Giuseppe; Tuccillo, Bernardino
• Is Part Of: Echocardiography. Volume 36:Issue 4(2019)
• Page Start: 803
• Page End: 805
• Publication Date: 2019-02-06
• Subjects: Echocardiography -- Periodicals; Echocardiography -- Periodicals; 616.1207543
• DOI: 10.1111/echo.14276
• Languages: English
• ISSNs: 0742-2822

Abstract

Abstract : 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.