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The Case, Left Ventricular Perforation During The Diagnostic Cardiac Catheterization: Clinical Follow-Up and Management

Year 2010, Issue: 2, 108 - 110, 01.06.2010

Abstract

During the standart coronary angiography and left ventriculography for a patient with prediagnosed coronary artery disease, the tip of the pigtail entered to the pericardial space piercing the left ventricular free wall. Complicated hemopericardium was clinically observed and followed by using echocardiography. This complication was stabilized spontaneously and the patient was discharged without progressing to the tamponade and requiring any operation

References

  • Fejka M, Dixon SR, Safian RD, et al. Diagnosis, management, and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol. 2002;90:1183-6.
  • Tsang TS, Freeman WK, Barnes ME, Reeder GS, Packer DL, Seward JB. Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures. J Am Coll Cardiol 1998; 32:1345-50.
  • Brueck M, Kramer W, Ludwig J. Accidental perforation of the left ventricle during angiography. Clin Cardiol. 2004;27:222.
  • Davis GK, Au J, Roberts D.. Myocardial perforation associated with the use of the Gensini ventriculography catheter. Int J Cardiol. 1996;53:103-6.
  • Calabuig J, Mejia S, Cabanero J, Crisostomo S, Navarro C, Martinez Caro D. Unsuccessful pericardiocentesis for cardiac tamponade durin angiocardiography with nonionic contrast material. Cardiovasc Intervent Radiol 1993;16:257-8.
  • Bassan MM, Merin G. Pericardial tamponade due to perforation with a permanent endocardial pacing catheter. J Thorac Cardiovasc Surg. 1977;74:51-4.

Kardiyak Diyagnostik Kateterizasyon Sırasında Sol Ventriküler Perforasyon Olgusu: Klinik Takip ve Tedavi

Year 2010, Issue: 2, 108 - 110, 01.06.2010

Abstract

Koroner arter hastalığı ön tanısı ile hastaya standart anjiografi sonrası sol ventrikülografi yapılırken, kullanılan “pigtail” sol ventrikül duvarını perfore etti. Gelişen hemoperikardium klinik ve ekokardiyografik olarak takip edildi. Bu komplikasyon, operasyon gerektiren bir durum gelişmeden spontan olarak stabilize oldu ve tamponad gelişmeden noninvaziv takip ile hasta taburcu edildi

References

  • Fejka M, Dixon SR, Safian RD, et al. Diagnosis, management, and clinical outcome of cardiac tamponade complicating percutaneous coronary intervention. Am J Cardiol. 2002;90:1183-6.
  • Tsang TS, Freeman WK, Barnes ME, Reeder GS, Packer DL, Seward JB. Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures. J Am Coll Cardiol 1998; 32:1345-50.
  • Brueck M, Kramer W, Ludwig J. Accidental perforation of the left ventricle during angiography. Clin Cardiol. 2004;27:222.
  • Davis GK, Au J, Roberts D.. Myocardial perforation associated with the use of the Gensini ventriculography catheter. Int J Cardiol. 1996;53:103-6.
  • Calabuig J, Mejia S, Cabanero J, Crisostomo S, Navarro C, Martinez Caro D. Unsuccessful pericardiocentesis for cardiac tamponade durin angiocardiography with nonionic contrast material. Cardiovasc Intervent Radiol 1993;16:257-8.
  • Bassan MM, Merin G. Pericardial tamponade due to perforation with a permanent endocardial pacing catheter. J Thorac Cardiovasc Surg. 1977;74:51-4.
There are 6 citations in total.

Details

Primary Language Turkish
Journal Section Case Report
Authors

Sinan Dağdelen

Murat Yüce

Publication Date June 1, 2010
Published in Issue Year 2010Issue: 2

Cite

EndNote Dağdelen S, Yüce M (June 1, 2010) Kardiyak Diyagnostik Kateterizasyon Sırasında Sol Ventriküler Perforasyon Olgusu: Klinik Takip ve Tedavi. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 2 108–110.