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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 10, a chest X-ray showed the regression of pericardial air after conservative treatment.
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Figure 5: On day 10, a chest X-ray showed the regression of pericardial air after conservative treatment.

Mentions: The patient was treated conservatively and drainage catheter was removed. Subjective symptoms and radiological signs of pneumopericardium disappeared 5 days later (Fig. 5). The patient's clinical syndrome was treated with steroids and anti-tuberculosis therapy.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 10, a chest X-ray showed the regression of pericardial air after conservative treatment.
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 5: On day 10, a chest X-ray showed the regression of pericardial air after conservative treatment.
Mentions: The patient was treated conservatively and drainage catheter was removed. Subjective symptoms and radiological signs of pneumopericardium disappeared 5 days later (Fig. 5). The patient's clinical syndrome was treated with steroids and anti-tuberculosis therapy.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