Published: 2022-10-28

A rare case of hepatic vein puncture during attempted pericardiocentesis mimicking right atrium perforation

Amar Nath Upadhyay, Barun Kumar


Emergency pericardiocentesis done for hemodynamically significant cardiac tamponad is associated with rare but life-threatening complications including cardiac chamber perforation. Echocardiography is the usual tool to diagnose procedural complications of pericardiocentesis. We are reporting a case of attempted pericardiocentesis where apparent cardiac chamber perforation by saline contrast echo turned out to be an inconsequential hepatic vein puncture.


Echocardiography, Hepatic vein, Pericardiocentesis, Tamponade

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