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Pneumopericardium as a complication of pericardiocentesis.

Choi WH, Hwang YM, Park MY, Lee SJ, Lee HY, Kim SW, Jun BY, Min JS, Shin WS, Lee JM, Koh YS, Jeon HK, Chung WS, Seung KB - Korean Circ J (2011)

Bottom Line: Air-fluid level surrounding the heart shadow within the pericardium on a chest X-ray is an early observation at diagnosis.This clinical measurement and process is variable, depending on the hemodynamic status of the patient.The development of a cardiac tamponade is a serious complication, necessitating prompt recognition and treatment.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
Pneumopericardium is a rare complication of pericardiocentesis, occurring either as a result of direct pleuro-pericardial communication or a leaky drainage system. Air-fluid level surrounding the heart shadow within the pericardium on a chest X-ray is an early observation at diagnosis. This clinical measurement and process is variable, depending on the hemodynamic status of the patient. The development of a cardiac tamponade is a serious complication, necessitating prompt recognition and treatment. We recently observed a case of pneumopericardium after a therapeutic pericardiocentesis in a 20-year-old man with tuberculous pericardial effusion.

No MeSH data available.


Related in: MedlinePlus

On day 5, Lucent outline (→) representing the pericardial sac around the heart with clear lung is shown as an image above. Meanwhile, air (*) surrounding the cardiac boarder and air-fluid level (↑) in the pericardial space is also noted. The pericardial drainage catheter (←) has been placed into a loculated effusion using an subxiphoid approach.
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Figure 3: On day 5, Lucent outline (→) representing the pericardial sac around the heart with clear lung is shown as an image above. Meanwhile, air (*) surrounding the cardiac boarder and air-fluid level (↑) in the pericardial space is also noted. The pericardial drainage catheter (←) has been placed into a loculated effusion using an subxiphoid approach.

Mentions: On day 5 after the pericardiocentesis the patient developed a pleuritic chest pain. His blood pressure was 110/70 mmHg, heart rate was 72 bpm, and respiratory rate was 20 per minute. Follow up chest radiographs showed a new lucent outline around the heart with a clear lung, representing the existence of air-fluid level in the pericardial space (Fig. 3). Echocardiography revealed scanty pericardial effusion, a bright echogenic spot swirling in the pericardial cavity and an absent tamponade (Fig. 4).


Pneumopericardium as a complication of pericardiocentesis.

Choi WH, Hwang YM, Park MY, Lee SJ, Lee HY, Kim SW, Jun BY, Min JS, Shin WS, Lee JM, Koh YS, Jeon HK, Chung WS, Seung KB - Korean Circ J (2011)

On day 5, Lucent outline (→) representing the pericardial sac around the heart with clear lung is shown as an image above. Meanwhile, air (*) surrounding the cardiac boarder and air-fluid level (↑) in the pericardial space is also noted. The pericardial drainage catheter (←) has been placed into a loculated effusion using an subxiphoid approach.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3116108&req=5

Figure 3: On day 5, Lucent outline (→) representing the pericardial sac around the heart with clear lung is shown as an image above. Meanwhile, air (*) surrounding the cardiac boarder and air-fluid level (↑) in the pericardial space is also noted. The pericardial drainage catheter (←) has been placed into a loculated effusion using an subxiphoid approach.
Mentions: On day 5 after the pericardiocentesis the patient developed a pleuritic chest pain. His blood pressure was 110/70 mmHg, heart rate was 72 bpm, and respiratory rate was 20 per minute. Follow up chest radiographs showed a new lucent outline around the heart with a clear lung, representing the existence of air-fluid level in the pericardial space (Fig. 3). Echocardiography revealed scanty pericardial effusion, a bright echogenic spot swirling in the pericardial cavity and an absent tamponade (Fig. 4).

Bottom Line: Air-fluid level surrounding the heart shadow within the pericardium on a chest X-ray is an early observation at diagnosis.This clinical measurement and process is variable, depending on the hemodynamic status of the patient.The development of a cardiac tamponade is a serious complication, necessitating prompt recognition and treatment.

View Article: PubMed Central - PubMed

Affiliation: Division of Cardiology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.

ABSTRACT
Pneumopericardium is a rare complication of pericardiocentesis, occurring either as a result of direct pleuro-pericardial communication or a leaky drainage system. Air-fluid level surrounding the heart shadow within the pericardium on a chest X-ray is an early observation at diagnosis. This clinical measurement and process is variable, depending on the hemodynamic status of the patient. The development of a cardiac tamponade is a serious complication, necessitating prompt recognition and treatment. We recently observed a case of pneumopericardium after a therapeutic pericardiocentesis in a 20-year-old man with tuberculous pericardial effusion.

No MeSH data available.


Related in: MedlinePlus