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Tension Pneumopericardium after Pericardiocentesis
Journal of Korean Medical Science ; : 470-472, 2016.
Article in English | WPRIM | ID: wpr-85710
ABSTRACT
Pneumopericardium is defined as the presence of air inside the pericardial space. Usually, it is reported as a complication of blunt or penetrating chest trauma, but rare iatrogenic and spontaneous cases have been reported. Pneumopericardium is relatively stable if it does not generate a tension effect on the heart. However, it may progress to tension pneumopericardium, which requires immediate pericardial aspiration. We report a case of iatrogenic pneumopericardium occurred in a 70-year-old man who presented dyspnea at emergency department. The patient underwent pericardiocentesis for cardiac tamponade due to large pericardial effusion, and iatrogenic tension pneumopericardium occurred due to misuse of the drainage device. After evacuating the pericardial air through the previously implanted catheter, the patient became stable. We report this case to increase the awareness of this fatal condition and to help increase the use of precautions against the development of this condition during emergency procedures.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pericardial Effusion / Pneumopericardium / Cardiac Tamponade / Tomography, X-Ray Computed / Drainage / Medical Errors / Pericardiocentesis / Dyspnea / Emergency Medical Services / Heart Ventricles Limits: Aged / Humans / Male Language: English Journal: Journal of Korean Medical Science Year: 2016 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Pericardial Effusion / Pneumopericardium / Cardiac Tamponade / Tomography, X-Ray Computed / Drainage / Medical Errors / Pericardiocentesis / Dyspnea / Emergency Medical Services / Heart Ventricles Limits: Aged / Humans / Male Language: English Journal: Journal of Korean Medical Science Year: 2016 Type: Article