Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case report

A patient presented for an elective transcatheter aortic valve replacement with temporary transvenous pacing (TVP) wires placement per protocol. On postoperative day 1, the patient remained stable, so the wires were subsequently removed, after which the patient acutely decompensated, with transthora...

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Main Authors: Rekha Suthar, Osman Nawazish Salaria, Carolina De La Cuesta, Omar Viswanath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Annals of Cardiac Anaesthesia
Subjects:
Online Access:http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=4;spage=459;epage=461;aulast=Suthar
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author Rekha Suthar
Osman Nawazish Salaria
Carolina De La Cuesta
Omar Viswanath
author_facet Rekha Suthar
Osman Nawazish Salaria
Carolina De La Cuesta
Omar Viswanath
author_sort Rekha Suthar
collection DOAJ
description A patient presented for an elective transcatheter aortic valve replacement with temporary transvenous pacing (TVP) wires placement per protocol. On postoperative day 1, the patient remained stable, so the wires were subsequently removed, after which the patient acutely decompensated, with transthoracic echocardiography revealing pericardial effusion. Emergent pericardiocentesis was performed, and a pericardial drain was placed. Three days later, the drain was removed; again, the patient acutely decompensated, requiring another emergent pericardiocentesis. Despite the relatively benign nature of TVP wires and pericardial drains, the possibility of cardiac tamponade should be kept in mind as a potential complication when they are being removed.
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spelling doaj.art-c3f67b3094ca4f6ebaf5c7edbd3e5b272022-12-21T18:19:45ZengWolters Kluwer Medknow PublicationsAnnals of Cardiac Anaesthesia0971-97842017-01-0120445946110.4103/aca.ACA_67_17Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case reportRekha SutharOsman Nawazish SalariaCarolina De La CuestaOmar ViswanathA patient presented for an elective transcatheter aortic valve replacement with temporary transvenous pacing (TVP) wires placement per protocol. On postoperative day 1, the patient remained stable, so the wires were subsequently removed, after which the patient acutely decompensated, with transthoracic echocardiography revealing pericardial effusion. Emergent pericardiocentesis was performed, and a pericardial drain was placed. Three days later, the drain was removed; again, the patient acutely decompensated, requiring another emergent pericardiocentesis. Despite the relatively benign nature of TVP wires and pericardial drains, the possibility of cardiac tamponade should be kept in mind as a potential complication when they are being removed.http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=4;spage=459;epage=461;aulast=SutharCardiac tamponadepericardial drainpericardial effusiontransthoracic echocardiogramtransvenous pacing wires
spellingShingle Rekha Suthar
Osman Nawazish Salaria
Carolina De La Cuesta
Omar Viswanath
Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case report
Annals of Cardiac Anaesthesia
Cardiac tamponade
pericardial drain
pericardial effusion
transthoracic echocardiogram
transvenous pacing wires
title Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case report
title_full Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case report
title_fullStr Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case report
title_full_unstemmed Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case report
title_short Two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain: A case report
title_sort two episodes of cardiac tamponade in the same patient from removing pacing wires and a pericardial drain a case report
topic Cardiac tamponade
pericardial drain
pericardial effusion
transthoracic echocardiogram
transvenous pacing wires
url http://www.annals.in/article.asp?issn=0971-9784;year=2017;volume=20;issue=4;spage=459;epage=461;aulast=Suthar
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