Right ventricular free wall perforation during pericardiocentesis, and an inappropriate device selection for percutaneous treatment
Right ventricular free wall perforation during pericardiocentesis, and an inappropriate device selection for percutaneous treatment
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DOI：
10.1111/jocs.15146
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发表时间：
2020-10-30
影响因子：
1.6
通讯作者：
Zehir, Regaip
中科院分区：
文献类型：
--
作者：
Celik, Mehmet;Yilmaz, Yusuf;Zehir, Regaip
右心室穿孔是心包穿刺术的一种罕见但危及生命的并发症，通常需要手术治疗。我们报告了一例右心室游离壁穿孔，发生在心包穿刺术期间，并试图用Amplatzer血管塞-III（AVP-III）器械闭合。封堵器封堵了穿孔，但位置不安全;因此，患者接受了手术修复。作为AVP-III器械，其中间盘厚于右心室心肌，可能导致右心室心肌向外伸展，因此不应用于经导管途径治疗右心室穿孔。
Right ventricular (RV) perforation is a rare but life-threatening complication of pericardiocentesis and is usually treated surgically. We presented a case of RV free wall perforation, which occurred during pericardiocentesis and tried to be closed percutaneously with the Amplatzer vascular plug-III (AVP-III) device. The occluder device sealed the perforation, but it was in an insecure position; therefore, the patient underwent surgical repair. As an AVP-III device, with a middle disk thicker than the RV myocardium, it may cause the RV myocardium to stretch outwards, so it should not be used for the treatment of RV perforation by the transcatheter way.