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

Abstract

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.

Keywords

• Pericardiocentesis,decompression,tamponade

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

Abstract

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.

Keywords

• Perikardiyosentez,dekompresyon,tamponad

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