Rare Case of Right Ventricular Perforation during Pericardiocentesis: A Case Report
O. Moufid *
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
B. Abdalani
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
I. Abbassi
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco.
M. Bouziane
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II university of Casablanca, Morocco.
M. Bennouna
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco and Faculty of Medicine and Pharmacy, Hassan II university of Casablanca, Morocco.
R. Habbal
Department of Cardiology P37, Ibn Rochd University Hospital, Casablanca, Morocco, Faculty of Medicine and Pharmacy, Hassan II university of Casablanca, Morocco and Faculty of Medicine, Cheikh Khalifa University of Casablanca, Morocco.
*Author to whom correspondence should be addressed.
Abstract
Iatrogenic cardiac injuries are potential complications arising from diagnostic and therapeutic procedures in cardiology, including interventions like cardiac catheterization, coronary angioplasty, and pacemaker implantation [1,2]. Pericardial tamponade can occur, with a prevalence of 0.12%, often requiring urgent intervention such as pericardiocentesis.
Patients with chronic pericardial effusion and signs of tamponade may adapt to gradual fluid accumulation, but vigilance for iatrogenic injuries remains crucial. Transthoracic echocardiography aids in rapid diagnosis and guides timely interventions [3]. Therefore, the right ventricular perforation seems to be one of these complications, and it may occur during pericardiocentesis.
Surgical approaches for acute tamponades vary, with median sternotomy enabling comprehensive exploration [4]. Echocardiographic monitoring can signal clinical deterioration, necessitating prompt fluid management and early intervention to optimize outcomes. Although, the therapies in right ventricular perforation are variable. In our case, we emphasize about the conservative approach.
Keywords: Ventricular perforation, Iatrogenic cardiac injuries, pericardiocentesis, cardiac trauma