DOI QR코드

DOI QR Code

A "Vanishing", Tuberculous, Pericardial Effusion

  • Received : 2015.10.05
  • Accepted : 2015.12.17
  • Published : 2016.11.30

Abstract

We present an iatrogenic, pleuro-pericardial connection resulting from pericardiocentesis of a large, tuberculous, pericardial effusion. Recognition of this situation is paramount when one is unable to aspirate pericardial fluid after a successful, initial puncture. Such knowledge will help prevent myocardial or coronary artery injury with further attempts at aspiration.

Keywords

References

  1. Maisch B, Seferovic PM, Ristic AD, et al. Guidelines on the diagnosis and management of pericardial diseases executive summary; the task force on the diagnosis and management of pericardial diseases of the European society of cardiology. Eur Heart J 2004;25:587-610. https://doi.org/10.1016/j.ehj.2004.02.002
  2. Tsang TS, Enriquez-Sarano M, Freeman WK, et al. Consecutive 1127 therapeutic echocardiographically guided pericardiocenteses: clinical profile, practice patterns and outcomes spanning 21 years. Mayo Clin Proc 2002;77:429-36. https://doi.org/10.1016/S0025-6196(11)62211-8
  3. Badri M, Wilson D, Wood R. Effect of highly active antiretroviral therapy on incidence of tuberculosis in South Africa: a cohort study. Lancet 2002;359:2059-64. https://doi.org/10.1016/S0140-6736(02)08904-3
  4. Permanyer-Miralda G, Sagrista-Sauleda J, Soler-Soler J. Primary acute pericardial disease: a prospective series of 231 consecutive patients. Am J Cardiol 1985;56:623-30. https://doi.org/10.1016/0002-9149(85)91023-9
  5. Klein SV, Afridi H, Agarwal D, Coughlin BF, Schielke LH. CT directed diagnostic and therapeutic pericardiocentesis: 8-year experience at a single institution. Emerg Radiol 2005;11:353-63. https://doi.org/10.1007/s10140-004-0389-5
  6. Maggiolini S, Bozzano A, Russo P, et al. Echocardiography-guided pericardiocentesis with probe-mounted needle: report of 53 cases. J Am Soc Echocardiogr 2001;14:821-4. https://doi.org/10.1067/mje.2001.114009
  7. Tsang TS, Barnes ME, Hayes SN, et al. Clinical and echocardiographic characteristics of significant pericardial effusions following cardiothoracic surgery and outcomes of echo-guided pericardiocentesis for management: Mayo Clinic experience, 1979-1998. Chest 1999;116:322-31. https://doi.org/10.1378/chest.116.2.322
  8. Tsang TS, Freeman WK, Barnes ME, Reeder GS, Packer DL, Seward JB. Rescue echocardiographically guided pericardiocentesis for cardiac perforation complicating catheter-based procedures. The Mayo Clinic experience. J Am Coll Cardiol 1998;32:1345-50. https://doi.org/10.1016/S0735-1097(98)00390-8
  9. Winter M, Lim I, Joseph M. The disappearing pericardial effusion: a pericardial-pleural fistula. J Am Soc Echocardiogr 2009;22:973.e5-7.
  10. Reuter H, Burgess L, van Vuuren W, Doubell A. Diagnosing tuberculous pericarditis. QJM 2006;99:827-39. https://doi.org/10.1093/qjmed/hcl123
  11. Ziskind AA, Pearce AC, Lemmon CC, et al. Percutaneous balloon pericardiotomy for the treatment of cardiac tamponade and large pericardial effusions: description of technique and report of the first 50 cases. J Am Coll Cardiol 1993;21:1-5. https://doi.org/10.1016/0735-1097(93)90710-I
  12. El Haddad D, Iliescu C, Yusuf SW, et al. Outcomes of cancer patients undergoing percutaneous pericardiocentesis for pericardial effusion. J Am Coll Cardiol 2015;66:1119-28. https://doi.org/10.1016/j.jacc.2015.06.1332