scholarly journals Cardiac tamponade as a rare complication after giant coronary fistula percutaneous closure

2013 ◽  
Vol 03 (02) ◽  
pp. 215-217
Author(s):  
Pablo Díez Villanueva ◽  
Fernando Sarnago Cebada ◽  
Enrique Gutiérrez Ibañes ◽  
Ricardo Sanz-Ruíz ◽  
Jaime Elízaga-Corrales ◽  
...  
Keyword(s):  
Cardiac Tamponade ◽  
Rare Complication ◽  
Percutaneous Closure ◽  
Coronary Fistula

Pericarditis and Cardiac Tamponade in Juvenile Rheumatoid Arthritis

PEDIATRICS ◽  
1981 ◽  
Vol 68 (3) ◽  
pp. 369-373 ◽  
Author(s):  
Carolyn L. Yancey ◽  
Robert A. Doughty ◽  
Barbara A. Cohlan ◽  
Balu H. Athreya
Keyword(s):  
Rheumatoid Arthritis ◽  
Cardiac Tamponade ◽  
Juvenile Rheumatoid Arthritis ◽  
Sinus Tachycardia ◽  
Rare Complication ◽  
Shortness Of Breath ◽  
Significant Morbidity ◽  
T Wave ◽  
Inflammatory Drugs

Cardiac tamponade is a rare complication of juvenile rheumatoid arthritis. Three cases seen in the last two years at the Children's Hospital of Philadelphia are reported and compared to four previously reported cases. All three children had systemic-type juvenile rheumatoid arthritis with tachypnea, shortness of breath, and chest pain. Cardiac signs in these children included decreased heart sounds, pericardial friction rub, jugular venous distention, and pulsus paradoxus greater than 12 mm Hg. Roentgenograms of the chest showed cardiomegaly with bilateral pleural effusions. Electrocardiograms showed sinus tachycardia and nonspecific ST-T wave changes. Echocardiograms demonstrated pericardial effusions in all subjects and poor ventricular movements in one child. All three children were treated with short-acting anti-inflammatory drugs and/or prednisone. Pericardiocentesis was performed in two cases. There was no significant morbidity after a mean follow-up of two years.

scholarly journals P699 Atrial septum tearing due to balloon sizing in percutaneous closure of ASD

2020 ◽  
Vol 21 (Supplement_1) ◽  
Author(s):  
C Alak ◽  
E Ozpelit ◽  
D Cirgamis ◽  
O Badak ◽  
O Goldeli
Keyword(s):  
Guide Wire ◽  
Case Reports ◽  
Rare Complication ◽  
Interatrial Septum ◽  
Atrial Septum ◽  
Percutaneous Closure ◽  
Reliable Procedure ◽  
Asd Closure ◽  
2D And 3D ◽  
Stop Flow

Abstract INTRODUCTION Percutanous closure of atrial septal defect (ASD) has become an accepted ,reliable procedure and alternative to surgical treatment.Various complications associated with this procedure have been identified but tear of atrial septal rim is a very rare complication.We report a case of atrial septal rim tear due to balloon sizing and diagnosed at the same time by transesophageal echocardiography (TEE). CASE A 64-year-old female patient was admitted to our clinic with dyspnea.Transthoracic echocardiography (TTE) was performed.Ejection fraction was %60 .Moderate tricuspit regurgitation was observed and pulmonary artery pressure was 45 mmHg. TTE revealed a left to right shunt and TEE was planned.2D and 3D-TEE was performed.Two separate secundum type ASD were observed and diameters of defects were measured as 15 mm and 14 mm.Measurement of rim between two defects was 7 mm.(Figure 1 A-B-C) It was observed that the aortic rim was absent but the other rims were sufficient for percutaneous closure.Percutaneous closure was planned .Balloon sizing with a 34-mm AGA balloon resulted in a stretched defect diameter of 26 mm using the stop-flow technique.After the measurement of ASD with sizing balloon flail structure was observed in atrial septal rim.We evaluate this image from various echocardiographic window and we diagnosed the atrial septal rupture. (Figure 1-E ) The patient was hemodynamically stable during the intervention and the atrial septal rupture diameter did not increase. Therefore it was decided to continue the process.ASD diameter was measured again after the rupture of the atrial septum and it was measured 26 mm by TEE and sizing balloon. A 28-mm Amplatzer septal occluder (ASO) was selected.In the same session 28 mm ASO device was successfully placed in the defect.In the TEE examination, it was found that the device was in correct place, there was no shunt from left to right and the torn was between the two discs of the device.(Figure 1-F) The procedure was successfully completed without complications. DISCUSSION Rupture of the interatrial septum or rim during percutaneous ASD closure is a very rare complication. Possible causes of rupture in the interatrial septum when using sizing balloon may be the manipulation of the sizing balloon, passing the guide wire through a small atrial septum fenestration , and the over-stretching of the sizing balloon.There are very rare case reports in the literature about this subject. The rupture of the atrial septum can be enlarged, and therefore surgical treatment has to be performed in these cases in the literature. CONCLUSION In this case, we tried to present the rupture of the interatrial septum, which is a rare complication that may develop when using sizing balloon, and successful percutaneous closure of ASD in the same session. Abstract P699 Figure.

scholarly journals Successful Percutaneous Closure of a Well-Developed Arteriovenous Coronary Fistula With a Giant Aneurysm

2018 ◽  
Vol 11 (7) ◽  
Author(s):  
Isaac Pascual ◽  
Pablo Avanzas ◽  
Daniel Hernández-Vaquero ◽  
Enrique Ríos ◽  
María Martín ◽  
...  
Keyword(s):  
Giant Aneurysm ◽  
Percutaneous Closure ◽  
Coronary Fistula ◽  
Arteriovenous Coronary Fistula

Multimodality evaluation of percutaneous closure of coronary fistula using AMPLATZER Vascular Plug IV

2016 ◽  
Vol 225 ◽  
pp. 381-383 ◽  
Author(s):  
Damiano Regazzoli ◽  
Manuela Giglio ◽  
Francesca Besana ◽  
Pier Pasquale Leone ◽  
Akihito Tanaka ◽  
...  
Keyword(s):  
Percutaneous Closure ◽  
Amplatzer Vascular Plug ◽  
Coronary Fistula ◽  
Vascular Plug

Diagnosis and Percutaneous Closure of a Large Coronary Fistula

2011 ◽  
Vol 28 (2) ◽  
pp. 248-252 ◽  
Author(s):  
Marina Leitman ◽  
Rafael Hirsch ◽  
Simcha Rosenblatt ◽  
Nickolay Theodorovich ◽  
Ricardo Krakover ◽  
...  
Keyword(s):  
Percutaneous Closure ◽  
Coronary Fistula

scholarly journals Acute Cardiac Tamponade after Left Sided Premature Ventricular Contraction Ablation

2016 ◽  
Vol 2 (2) ◽  
pp. 76-80
Author(s):  
Zsuzsanna Kis ◽  
Szili Török Tamás ◽  
Kovács István
Keyword(s):  
Radio Frequency ◽  
Cardiac Tamponade ◽  
Rare Complication ◽  
Clinical Status ◽  
Anticoagulation Therapy ◽  
Holter Monitoring ◽  
Pericardial Tamponade ◽  
Radio Frequency Ablation ◽  
Exercise Intolerance ◽  
Premature Ventricular Complex

Abstract Introduction: Premature ventricular complex (PVC) is the most common cardiac arrhythmia, which in some circumstances can lead to syncope, arrhythmia-induced cardiomyopathy and sudden death. In idiopathic PVCs, the first choice of treatment is radio-frequency ablation. Identification of the substrate location makes it possible to determine the ablation site, leading to an increased success rate. Complications are related mainly to the ablation technique, peri-procedural anticoagulation therapy, and the access site. Pericardial tamponade is a rare complication. A case in which the ablation procedure of idiopathic PVCs, complicated by cardiac tamponade, is presented in this paper. Case presentation: A 56-year-old female presented with symptomatic premature ventricular contractions. She had frequent palpitations, dyspnea, and exercise intolerance for ten years. Holter-monitoring demonstrated a total burden of 30,549 PVCs with monomorphic morphology, and with both bigeminal and trigeminal patterns. Surface ECG suggested a left-sided, left aortic cusp localization of the PVC, with a possible epicardial origin. Three-dimensional mapping was performed including the RVOT (right ventricular outflow tract) region, aorta, and coronary sinus. The ablation clinical status suggested a cardiac tamponade, which was confirmed by echocardiography. Radioscopy-controlled pericardial puncture was performed with the extraction of 300 ml of blood. Following this maneuver, the general status of the patient improved. During follow-up checks after twenty-four hours, Holter-monitoring recorded 5000 PVCs with a significant improvement in the clinical status of the patient. Discussions: Pericardial tamponade after radio-frequency ablation is a rare complication. The risk of tamponade in a right chamber perforation is more dangerous in patients on anticoagulation therapy or with pulmonary hypertension. In order to prevent this side effect complication of the interventional procedures, certain safety maneuvers should be followed, including the use of irrigated-type catheters, or when possible, contact force catheters, ensuring invasive arterial blood pressure monitoring during intervention, and after heparin administration and the determination of ACT every twenty minutes. Transthoracic echocardiograph examination and pericardial puncture set should be readily available in the electrophysiology laboratory.

Sign in / Sign up

Export Citation Format

Share Document