Post Pci Complication: Left Atrial Intramural Hematoma

Reddy, Akhil Rasim

doi:10.1016/s0735-1097(19)31999-0

Cited by 1 publication

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“…Most of the reports described in the literature are isolated left atrial compressions after open heart surgery and a few cases after PCI. 1 , 3–10 Wherever possible, previously recorded cases were handled conservatively, with intravascular volume expansion and inotropic support, 4 , 5 or with surgical evacuation in the situation of circulatory collapse 6–10 ( Table 1 ). Dorsal right pericardiocentesis of a compressive left atrial haematoma after CTO-PCI has been first described in 2015.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous drainage of a localized biatrial haematoma causing regional tamponade in a patient with prior coronary artery bypass graft surgery: a case report

Achim

Toia

Leibundgut

2022

European Heart Journal - Case Reports

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Background Regional cardiac tamponade presented as posterior extrapericardial hematomas compressing both atria, with cardiogenic obstructive shock due to inflow abolition is a rare cause of post PCI vascular collapse. Case summary We present such a case where CT-guided anterior pericardiocentesis decompressed the atria and restored cardiac output. Discussion Prior CABG should not be considered protective from cardiac tamponade in patients in whom perforation occurs, because loculated effusions can develop beneath adhesions of the pericardium and compress various cardiac structures (such as the left atrium or the right ventricle); they appear several hours after the intervention and cause atypical hemodynamic manifestations.

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