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Case Reports
. 2007 Dec;23(14):1155-6.
doi: 10.1016/s0828-282x(07)70887-5.

Acute pulmonary edema following pericardiocentesis for cardiac tamponade

Juan M Bernal  1 , Jyotiranjan Pradhan, Tao Li, Ronny Tchokonte, Luis Afonso
Affiliations
Case Reports

Acute pulmonary edema following pericardiocentesis for cardiac tamponade

Juan M Bernal et al. Can J Cardiol. 2007 Dec.

Abstract
in English, French

Pericardiocentesis for therapeutic drainage of pericardial fluid may be associated with a variety of complications, including laceration of the right ventricle or coronary artery, arrhythmias, viscus perforation, hypotension, pneumothorax, adult respiratory distress syndrome and death. Hemodynamic derangements such as acute left ventricular failure, pulmonary edema and cardiogenic shock are infrequent and, hence, less well recognized. The present report describes a patient with pericardial effusion and tamponade who developed cardiogenic shock requiring inotropic support shortly following uncomplicated ultrasound-guided pericardial drainage.

Une ponction péricardique en vue du drainage thérapeutique du liquide péricardique peut s’associer à diverses complications, y compris une lacération du ventricule droit ou de l’artère coronaire, des arythmies, une perforation des viscères, une hypotension, un pneumothorax, un syndrome de détresse respiratoire aiguë et un décès. Les perturbations hémodynamiques, telles qu’une insuffisance ventriculaire gauche aiguë, un œdème pulmonaire et un choc cardiogène sont rares, donc moins bien dépistées. Le présent rapport décrit le cas d’un patient souffrant d’effusion péricardique et de tamponnage, qui a développé un choc cardiogène exigeant un soutien inotrope peu après un drainage péricardique orienté par échographie sans complication.

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Figures

Figure 1)
Figure 1)
A long-axis magnetic resonance image showing no evidence of delayed enhancement following gadolinium administration
Figure 2)
Figure 2)
Two-dimentional strain imaging (apical view) showing normalization of global and segmental left ventricular function. Note the homogeneity of segmental systolic strain curves representing the anterior and inferior walls
See this image and copyright information in PMC

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