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- Title
Minimal Cardiac Perforation by Lead Pacemaker Complicated with Pericardial Effusion and Impending Tamponade: Optimal Management with No Pericardiocentesis Driven by Echocardiography.
- Authors
Caiati, Carlo; Pollice, Paolo; Truncellito, Luigi; Lepera, Mario Erminio; Favale, Stefano
- Abstract
We report the case of a 51-year-old patient who underwent the implantation of a bi-ventricular implantable cardioverter defibrillator (ICD) complicated by a sub-acute right ventricular minimal perforation with pericardial effusion and echocardiographic signs of tamponade. A new echocardiographic plane orientation allowed us to diagnose this condition in emergency and to make the right decision without delay, which consisting in unscrewing the active fixation screw under fluoroscopy guidance, while the pericardiocentesis was postponed. Thanks to the intervention focused on eliminating the cause of the postcardiac injury syndrome, the patient recovered rapidly and ultimately avoided the pericardiocentesis procedure.
- Subjects
PERICARDIUM paracentesis; PERICARDIAL effusion; ECHOCARDIOGRAPHY; IMPLANTABLE cardioverter-defibrillators; CARDIAC tamponade
- Publication
Diagnostics (2075-4418), 2020, Vol 10, Issue 4, p191
- ISSN
2075-4418
- Publication type
Article
- DOI
10.3390/diagnostics10040191