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


1 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA
2 Department of Intensive Care, Mount Sinai Medical Center, Miami Beach, Florida, USA

Correspondence Address:
Rekha Suthar
Department of Anesthesiology, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, Florida 33140
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_67_17

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Year : 2017  |  Volume : 20  |  Issue : 4  |  Page : 459-461

 

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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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1 Department of Anesthesiology, Mount Sinai Medical Center, Miami Beach, Florida, USA
2 Department of Intensive Care, Mount Sinai Medical Center, Miami Beach, Florida, USA

Correspondence Address:
Rekha Suthar
Department of Anesthesiology, Mount Sinai Medical Center, 4300 Alton Road, Miami Beach, Florida 33140
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_67_17

Rights and Permissions

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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