Pericardial Decompression Syndrome: an Uncommon But Dangerous Complication After Successful Pericardiocentesis

Yıl 2017, Cilt: 20 Sayı: 3, 253 - 255, 03.12.2017

Gamze Babur Güler Ekrem Güler Gültekin Günhan Demir Hacı Murat Güneş

Öz

Pericardial
decompression syndrome (PDS) is an infrequent but mostly fatal complication
after successful pericardiocentesis. We present a case of a 27-year-old female
patient with suspected malignancy and cardiac tamponade treated with
pericardiocentesis, followed by acute pulmonary edema and cardiac arrest 2
hours later. We also reviewed possible mechanisms involved in PDS
pathophysiology in the context of literature data.

Anahtar Kelimeler

Pericardiocentesis, decompression, tamponade

Başarılı Perikardiyosentez Sonrası Nadir ve Tehlikeli Bir Komplikasyon: Perikardiyal Dekompresyon Sendromu

Öz

Perikardiyal
dekompresyon sendromu (PDS), başarılı perikardiyosentez sonrası görülebilecek
nadir ancak ölümcül bir tablodur. Yirmi yedi yaşında malignite sebebiyle takip
edilen, kardiyak tamponad sebebiyle perikardiyosentez yapılan ve sonraki ikinci
saatte dispne, akut pulmoner ödem ve kardiyak arrest gelişen olguyu sunduk. PDS
patofizyolojisinde etkili mekanizmalar ve olası tedavi literatür bağlamında
gözden geçirildi.

Anahtar Kelimeler

Perikardiyosentez, dekompresyon, tamponad

Kaynakça

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• 8. Vandyke Jr WH, Cure J, Chakko CS, Gheorghiade M. Pulmonary edema after pericardiocentesis for cardiac tamponade. N Engl J Med 1983;309:595-6.
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