Surgical Treatment of Cardiac Penetration Induced by Pericardiocentesis

(Department of Thoracic and Cardiovascular Surgery, Mie University Graduate School of Medicine, Tsu, Japan)

Yasuhiro Sawada Hitoshi Kusagawa Koji Onoda
Takatsugu Shimono Hideto Shimpo
We report a case of surgical treatment of iatrogenic cardiac trauma. A patient with cardiac tamponade was treated by pericardiocentesis. During pericardiocentesis both right and left ventricles were perforated. These perforations were repaired in the beating heart state using 2-0 monofilament mattress sutures reinforced by felt pledgets. Iatrogenic cardiac trauma is rare. Fatal complications might arise when proper procedures are not followed during the placement of a catheter for pericardiocentesis. Here we present successfull surgical treatment of cardiac penetrations induced by pericardiocentesis.
@Jpn. J. Cardiovasc. Surg. 34: 432-434 (2005)