Direct transatrial pericardiocentesis for tamponade caused by left atrial perforation after trans-septal puncture

Fabien Picard; Xavier Millán; Quentin de Hemptinne; Philippe L L'allier

doi:10.1136/bcr-2016-216351

Direct transatrial pericardiocentesis for tamponade caused by left atrial perforation after trans-septal puncture

BMJ Case Rep. 2016 Jul 7:2016:bcr2016216351. doi: 10.1136/bcr-2016-216351.

Authors

Fabien Picard¹, Xavier Millán¹, Quentin de Hemptinne¹, Philippe L L'allier¹

Affiliation

¹ Interventional Cardiology, Montreal Heart Institute, Montreal, Quebec, Canada.

Abstract

Trans-septal puncture is associated with risks of serious complications. We report a case of an obese 52-year-old man with hypertrophic cardiomyopathy who underwent preoperative coronary angiography and cardiac catheterisation complicated by left atrial perforation. We describe a direct transatrial pericardiocentesis approach to treating cardiac tamponade.

2016 BMJ Publishing Group Ltd.

Publication types

Case Reports

MeSH terms

Cardiac Catheterization / adverse effects*
Cardiac Tamponade / diagnostic imaging
Cardiac Tamponade / etiology*
Cardiac Tamponade / surgery*
Cardiomyopathy, Hypertrophic / complications*
Echocardiography, Transesophageal
Heart Atria / diagnostic imaging
Heart Atria / injuries
Heart Septum / diagnostic imaging
Heart Septum / injuries*
Humans
Male
Middle Aged
Pericardiocentesis / methods*
Punctures