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Tension Pneumopericardium after Pericardiocentesis

Title
Tension Pneumopericardium after Pericardiocentesis
Author
강보승
Keywords
Pericardiocentesis; Pneumopericardium; latrogenic Disease; Complication
Issue Date
2016-03
Publisher
KOREAN ACAD MEDICAL SCIENCES
Citation
JOURNAL OF KOREAN MEDICAL SCIENCE, v. 31, NO 3, Page. 470-472
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.
URI
https://synapse.koreamed.org/DOIx.php?id=10.3346/jkms.2016.31.3.470http://hdl.handle.net/20.500.11754/40570
ISSN
1011-8934; 1598-6357
DOI
10.3346/jkms.2016.31.3.470
Appears in Collections:
COLLEGE OF MEDICINE[S](의과대학) > MEDICINE(의학과) > Articles
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