DOI: https://dx.doi.org/10.18203/2320-6012.ijrms20222880
Published: 2022-10-28

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

Amar Nath Upadhyay, Barun Kumar

Abstract


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.


Keywords


Echocardiography, Hepatic vein, Pericardiocentesis, Tamponade

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References


De Carlini CC, Maggiolini S. Pericardiocentesis in cardiac tamponade: indications and practical aspects. EJ Cardiol Pract. 2017;15:3-5.

Blanco P, Figueroa L, Menéndez MF, Berrueta B. Pericardiocentesis: ultrasound guidance is essential. Ultrasound J. 2022;14(1):9.

Kumar R, Sinha A, Lin MJ. Complications of pericardiocentesis: a clinical synopsis. Int J Crit Illness Injury Sci. 2015;5(3):206.

Maziarz A, Ząbek A, Małecka B, Kutarski A, Lelakowski J. Cardiac chambers perforation by pacemaker and cardioverter; defibrillator leads. Own experience in diagnosis, treatment and preventive methods. Kardiologia Polska. 2012;70(5):508-510.

Narula J, Choudhury A, Sharma A. Pericardiocentesis can be nasty. Accidents do occur while “Rail-roading” Sheaths and pigtails! Ann Cardiac Anaesthe. 2018;21(3):290.

Flint N, Siegel RJ. Echo-Guided Pericardiocentesis: When and How Should It Be Performed? Curr Cardiol Rep. 2020;22(8):71.

Osman A, Ahmad AH, Shamsudin NS, Baherin MF, Fong CP. A novel in-plane technique ultrasound-guided pericardiocentesis via subcostal approach. Ultrasound J. 2022;14(1):20.