Published on:14th Oct, 2015
    Journal of Cardiovascular Disease Research, 2015; 6(4):192-193
    Case Report | doi:10.5530/jcdr.2015.4.8

    Pericardiocentesis From Back Under Ultrasound Guidance An Approach for Posterior Pericardial Effusions

    Authors:

    Neeti Dogra1*, Tegbir Sidhu2, Praveen Nayak3, Virendar Sarwal4 , Ajay Sinha1 and Goverdhan Dutt Puri5

    1Consultant, Department of Cardiac Anesthesia, Max Hospital, Mohali, India.

    2Consultant, Department of Radiology, Max Hospital, Mohali, India.

    3Consultant, Department of Cardiothoracic Surgery, Max Hospital, Mohali, India.

    4Director and Head, Department of Cardiothoracic Surgery, Max Hospital, Mohali, India.

    5Professor, Department of Anesthesia and Intensive Care, PGIMER, Chandigarh, India.

    Abstract:

    Pericardial effusion (PE) remains an important cause of morbidity after cardiac surgery, and it can be life threatening when tamponade leads to hemodynamic compromise. Transthoracic echocardiography is the most important tool for diagnosis, grading, performing the pericardiocentesis procedure and follow up of post surgical pericardial effusions. The present case highlights the unique technique of posterior approach for pericardiocentesis for a post surgical effusion in the presence of a large left pleural effusion which otherwise would have required surgical drainage.

    Key words: Pericardial effusion, Pericardiocentesis, Posterior approach, Echocardiography.

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