Limits...
Life-threatening cardiac tamponade: a rare complication of acupuncture.

Chun KJ, Lee SG, Son BS, Kim do H - J Cardiothorac Surg (2014)

Bottom Line: Acupuncture as an ancient Chinese treatment has proven effective and is utilized worldwide.Although it is generally believed to be a safe clinical procedure, serious lethal complications including death have been reported.We present a rare case of life-threatening cardiac tamponade due to penetration of an acupuncture needle directly into the right ventricle.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cardiovascular Center, Pusan National University Yangsan Hospital and Medical Research Institute, Bumuh-ri, Moolgum-up, Yangsan, Gyungsangnam-do 626-770, South Korea. lsgwon@gmail.com.

ABSTRACT
Acupuncture as an ancient Chinese treatment has proven effective and is utilized worldwide. Although it is generally believed to be a safe clinical procedure, serious lethal complications including death have been reported. We present a rare case of life-threatening cardiac tamponade due to penetration of an acupuncture needle directly into the right ventricle.

Show MeSH

Related in: MedlinePlus

A computed tomogram demonstrated a pericardial fluid collection around the heart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4230030&req=5

Figure 1: A computed tomogram demonstrated a pericardial fluid collection around the heart.

Mentions: A 48-year-old korean woman was brought to the emergency department due to hypotension and drowsiness. She had a history of left mastectomy followed by chemotherapy due to breast cancer seven years ago. Otherwise her past medical history was unremarkable. She suddenly developed bradycardia, syncope and became comatose about 10 minutes after an acupuncture session, in which a needle was inserted into the left anterior parasternal area at the level of the 4th intercostal space by a professional acupuncturist. Immediate cardiopulmonary resuscitation was performed successfully and the patient was transferred to our hospital. On physical examination, she had jugular venous distension with distant heart sound. Systolic blood pressure was 50 mmHg with a heart rate of 120 bpm. After rapid administration of intravenous normal saline with inotropic agents, blood pressure was restored up to 90/60 mmHg. Transthoracic echocardiogram revealed a moderate amount of pericardial effusion with early diastolic collapse of the right atrium which was predominantly placed beyond the left ventricle and a computed tomogram demonstrated a pericardial fluid collection around the heart (Figure 1). Under the presumptive diagnosis of traumatic hemopericardium, the patient underwent emergent pericardial drainage via pericardiocentesis. But emergent cardiac surgery was decided because active bleeding was not stopped. After median sternotomy, a large amount of clotted material was evacuated from the pericardial cavity. A tiny perforating hole (3 mm in diameter) that was continuously oozing blood was noted in the anterior wall of the right ventricular outflow tract (Figure 2). The lesion was directly sutured without the need for cardiopulmonary bypass. The postoperative course was uneventful and she was discharged four days after the operation.


Life-threatening cardiac tamponade: a rare complication of acupuncture.

Chun KJ, Lee SG, Son BS, Kim do H - J Cardiothorac Surg (2014)

A computed tomogram demonstrated a pericardial fluid collection around the heart.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4230030&req=5

Figure 1: A computed tomogram demonstrated a pericardial fluid collection around the heart.
Mentions: A 48-year-old korean woman was brought to the emergency department due to hypotension and drowsiness. She had a history of left mastectomy followed by chemotherapy due to breast cancer seven years ago. Otherwise her past medical history was unremarkable. She suddenly developed bradycardia, syncope and became comatose about 10 minutes after an acupuncture session, in which a needle was inserted into the left anterior parasternal area at the level of the 4th intercostal space by a professional acupuncturist. Immediate cardiopulmonary resuscitation was performed successfully and the patient was transferred to our hospital. On physical examination, she had jugular venous distension with distant heart sound. Systolic blood pressure was 50 mmHg with a heart rate of 120 bpm. After rapid administration of intravenous normal saline with inotropic agents, blood pressure was restored up to 90/60 mmHg. Transthoracic echocardiogram revealed a moderate amount of pericardial effusion with early diastolic collapse of the right atrium which was predominantly placed beyond the left ventricle and a computed tomogram demonstrated a pericardial fluid collection around the heart (Figure 1). Under the presumptive diagnosis of traumatic hemopericardium, the patient underwent emergent pericardial drainage via pericardiocentesis. But emergent cardiac surgery was decided because active bleeding was not stopped. After median sternotomy, a large amount of clotted material was evacuated from the pericardial cavity. A tiny perforating hole (3 mm in diameter) that was continuously oozing blood was noted in the anterior wall of the right ventricular outflow tract (Figure 2). The lesion was directly sutured without the need for cardiopulmonary bypass. The postoperative course was uneventful and she was discharged four days after the operation.

Bottom Line: Acupuncture as an ancient Chinese treatment has proven effective and is utilized worldwide.Although it is generally believed to be a safe clinical procedure, serious lethal complications including death have been reported.We present a rare case of life-threatening cardiac tamponade due to penetration of an acupuncture needle directly into the right ventricle.

View Article: PubMed Central - HTML - PubMed

Affiliation: Cardiovascular Center, Pusan National University Yangsan Hospital and Medical Research Institute, Bumuh-ri, Moolgum-up, Yangsan, Gyungsangnam-do 626-770, South Korea. lsgwon@gmail.com.

ABSTRACT
Acupuncture as an ancient Chinese treatment has proven effective and is utilized worldwide. Although it is generally believed to be a safe clinical procedure, serious lethal complications including death have been reported. We present a rare case of life-threatening cardiac tamponade due to penetration of an acupuncture needle directly into the right ventricle.

Show MeSH
Related in: MedlinePlus