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Pericardial thrombus and cardiac tamponade after pericardiocentesis with intact heart walls. 2019
Maria Accadia, and
Marco Di Maio, and
Raffaele Iengo, and
Mariarosaria Arnese, and
Renato Cocchia, and
Fortunato Scotto Di Uccio, and
Andrea Tuccillo, and
Giuseppe Mercogliano, and
Bernardino Tuccillo
Department of Cardiology, Ospedale del Mare, Naples, Italy.
A young patient affected by a lung neoplasm, presented at emergency department with cardiac tamponade, underwent pericardiocentesis with a prompt restoration of hemodynamic stability. An hour later, the patient presented again signs of tamponade, without evidence of fluids in the drainage that was left in pericardial space. The echocardiography revealed an intrapericardial thrombus compressing the right chambers. An emergency pericardiotomy was performed and a large thrombus was removed from the pericardial space; cardiac walls were intact. Echocardiography played a pivotal role for the identification of a pericardial thrombus as a complication of pericardiocentesis.
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