Pneumopericardium- An Unusual Complication Following Transseptal Puncture: A Series of 3 Cases

Varun Marimuthu; K H Srinivasa; Subramani Khamitkar Shankar Rao; Nagamani Alur; Manjunath Cholenahalli Nanjappa; N M Prasad

doi:10.1016/j.jaccas.2022.03.030

Pneumopericardium- An Unusual Complication Following Transseptal Puncture: A Series of 3 Cases

JACC Case Rep. 2022 Jun 1;4(11):671-676. doi: 10.1016/j.jaccas.2022.03.030.

Authors

Varun Marimuthu¹, K H Srinivasa¹, Subramani Khamitkar Shankar Rao¹, Nagamani Alur¹, Manjunath Cholenahalli Nanjappa¹, N M Prasad¹

Affiliation

¹ Department of Cardiology, Sri Jayadeva Institute of Cardiovascular Sciences and Research, Bangalore, India.

Abstract

Transseptal puncture (TSP) is performed to access the left side of the heart from the venous circulation. Performed under fluoroscopy with echocardiographic guidance, it is a procedure associated with complications. Pneumopericardium leading to cardiac tamponade is rare following TSP. We present 3 cases of pneumopericardium during TSP and its identification, probable mechanism, and management. (Level of Difficulty: Advanced.).

Keywords: BMV, balloon mitral valvotomy; ICE, intracardiac echocardiography; LA, left atrial; MS, mitral stenosis; RA, right atrial; RAA, right atrial appendage; TEE, transesophageal echocardiography; TSP, transseptal puncture; mitral valve; rheumatic heart disease; tamponade.

Publication types

Case Reports