Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression Syndrome
Background. Pericardiocentesis is a therapeutic lifesaving intervention for patients presenting with cardiogenic shock due to pericardial effusion with signs of tamponade. Pericardial decompression syndrome (PDS) is a rare fatal complication that may occur after pericardiocentesis. Case Presentation...
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| Format: | Article |
| Language: | English |
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Wiley
2022-01-01
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| Series: | Case Reports in Cardiology |
| Online Access: | http://dx.doi.org/10.1155/2022/5440635 |
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| author | Mohamed Laimoud Patricia Machado Andrea Rossi Zadra Mary Maghirang Ali Alenazy |
| author_facet | Mohamed Laimoud Patricia Machado Andrea Rossi Zadra Mary Maghirang Ali Alenazy |
| author_sort | Mohamed Laimoud |
| collection | DOAJ |
| description | Background. Pericardiocentesis is a therapeutic lifesaving intervention for patients presenting with cardiogenic shock due to pericardial effusion with signs of tamponade. Pericardial decompression syndrome (PDS) is a rare fatal complication that may occur after pericardiocentesis. Case Presentation. We report a case of a patient with idiopathic primary pulmonary hypertension who presented with massive pericardial effusion complicated with rapid hemodynamic and respiratory deterioration. Gradual therapeutic pericardiocentesis was done but progressive circulatory collapse occurred. Emergent veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was applied. Echocardiography revealed severe right ventricle failure. Unfortunately, the patient developed acute progressive thrombocytopenia and bilaterally diffuse subarachnoid hemorrhage after 4 days of ECMO support. Conclusions. Therapeutic pericardiocentesis can be occasionally fatal in cases of significant pulmonary hypertension with massive pericardial effusion when complicated by pericardial decompression syndrome. Acute significant thrombocytopenia may occur with VA-ECMO support resulting in fatal bleeding. |
| format | Article |
| id | doaj-art-aacabb5cc8e544e9bafc1508dba56c4b |
| institution | Kabale University |
| issn | 2090-6412 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Cardiology |
| spelling | doaj-art-aacabb5cc8e544e9bafc1508dba56c4b2025-02-03T01:23:36ZengWileyCase Reports in Cardiology2090-64122022-01-01202210.1155/2022/5440635Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression SyndromeMohamed Laimoud0Patricia Machado1Andrea Rossi Zadra2Mary Maghirang3Ali Alenazy4King Faisal Specialist Hospital and Research CenterKing Faisal Specialist Hospital and Research CenterKing Faisal Specialist Hospital and Research CenterKing Faisal Specialist Hospital and Research CenterKing Faisal Specialist Hospital and Research CenterBackground. Pericardiocentesis is a therapeutic lifesaving intervention for patients presenting with cardiogenic shock due to pericardial effusion with signs of tamponade. Pericardial decompression syndrome (PDS) is a rare fatal complication that may occur after pericardiocentesis. Case Presentation. We report a case of a patient with idiopathic primary pulmonary hypertension who presented with massive pericardial effusion complicated with rapid hemodynamic and respiratory deterioration. Gradual therapeutic pericardiocentesis was done but progressive circulatory collapse occurred. Emergent veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was applied. Echocardiography revealed severe right ventricle failure. Unfortunately, the patient developed acute progressive thrombocytopenia and bilaterally diffuse subarachnoid hemorrhage after 4 days of ECMO support. Conclusions. Therapeutic pericardiocentesis can be occasionally fatal in cases of significant pulmonary hypertension with massive pericardial effusion when complicated by pericardial decompression syndrome. Acute significant thrombocytopenia may occur with VA-ECMO support resulting in fatal bleeding.http://dx.doi.org/10.1155/2022/5440635 |
| spellingShingle | Mohamed Laimoud Patricia Machado Andrea Rossi Zadra Mary Maghirang Ali Alenazy Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression Syndrome Case Reports in Cardiology |
| title | Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression Syndrome |
| title_full | Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression Syndrome |
| title_fullStr | Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression Syndrome |
| title_full_unstemmed | Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression Syndrome |
| title_short | Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression Syndrome |
| title_sort | emergency veno arterial extracorporeal membrane oxygenation for pericardial decompression syndrome |
| url | http://dx.doi.org/10.1155/2022/5440635 |
| work_keys_str_mv | AT mohamedlaimoud emergencyvenoarterialextracorporealmembraneoxygenationforpericardialdecompressionsyndrome AT patriciamachado emergencyvenoarterialextracorporealmembraneoxygenationforpericardialdecompressionsyndrome AT andrearossizadra emergencyvenoarterialextracorporealmembraneoxygenationforpericardialdecompressionsyndrome AT marymaghirang emergencyvenoarterialextracorporealmembraneoxygenationforpericardialdecompressionsyndrome AT alialenazy emergencyvenoarterialextracorporealmembraneoxygenationforpericardialdecompressionsyndrome |