Subject(s)
Echocardiography, Transesophageal , Heart Neoplasms/diagnostic imaging , Imaging, Three-Dimensional , Myxoma/diagnostic imaging , Echocardiography, Transesophageal/methods , Female , Heart Atria/diagnostic imaging , Heart Atria/surgery , Heart Neoplasms/surgery , Humans , Imaging, Three-Dimensional/methods , Middle Aged , Myxoma/surgeryABSTRACT
While not free from hazards, CT-guided biopsy of the lung is a safe procedure, with few major complications. Despite its safety record, however, potentially fatal complications do rarely occur. We report a case of pericardial tamponade following CT-guided lung biopsy. Rapid diagnosis and therapy allowed for complete patient recovery. Physicians who perform this procedure should be aware of the known complications and be prepared to treat them appropriately.
Subject(s)
Biopsy, Needle/adverse effects , Cardiac Tamponade/etiology , Radiography, Interventional , Tomography, X-Ray Computed , Adenocarcinoma, Mucinous/pathology , Aged , Cardiac Tamponade/therapy , Female , Humans , Lung Neoplasms/pathologyABSTRACT
BACKGROUND: We report an intraoperative retrograde dissection of the aorta and its subsequent evaluation by transesophageal echocardiography (TEE). CASE PRESENTATION: A 78 year old woman with an ascending aortic aneurysm without dissection and coronary artery disease was brought to the operating room for aneurysm repair and coronary artery bypass grafting. After initiation of cardiopulmonary bypass through a femoral artery cannula, aortic dissection was noted and subsequently imaged by TEE. CONCLUSION: Retrograde aortic dissection through the femoral artery is life-threatening. Intraoperative TEE can be used to diagnose this uncommon event, and should be considered after initiation of bypass.
