Delayed tamponade triggering Dressler's syndrome after pulmonary vein isolation
Delayed tamponade triggering Dressler's syndrome after pulmonary vein isolation
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DOI：
10.1080/ac.67.5.2174137
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发表时间：
2012-10-01
影响因子：
1.6
通讯作者：
De Greef, Yves
中科院分区：
文献类型：
--
作者：
Goossens, Kathleen;Caenepeel, Axel;De Greef, Yves
经皮导管消融是目前治疗复发性症状性心房颤动（AF）的一种行之有效的、高效的治疗策略。然而，严重并发症的发生率高达5.9%。新的并发症仍在不断出现。迟发性填塞最近才被认为是消融后的主要并发症。我们报告了一位68岁的女性患者，她在房颤消融后12天出现心包填塞，需要心包穿刺。随后，填塞引起德雷斯勒综合征，反复胸腔积液仅对皮质类固醇有充分反应。
Percutaneous catheter ablation is now a well-established, efficient and effective treatment strategy for recurrent, symptomatic atrial fibrillation (AF). Major complications though occur in up to 5.9% of procedures. New complications still continue to emerge. Delayed tamponade is only recently recognized as a major complication after ablation. We present a 68-year-old female patient who develops cardiac tamponade requiring pericardiocentesis 12 days after AF ablation. Subsequently, the tamponade triggers a Dressler syndrome with repetitive pleural effusions only adequately responsive to corticosteroids.