Direct transatrial pericardiocentesis for tamponade caused by left atrial perforation after trans-septal puncture.

Fabien PicardXavier MillánQuentin de HemptinnePhilippe L L'allier

Published in: BMJ case reports (2016)

Trans-septal puncture is associated with risks of serious complications. We report a case of an obese 52-year-old man with hypertrophic cardiomyopathy who underwent preoperative coronary angiography and cardiac catheterisation complicated by left atrial perforation. We describe a direct transatrial pericardiocentesis approach to treating cardiac tamponade.

Keyphrases

left atrial
hypertrophic cardiomyopathy
left ventricular
mitral valve
heart failure
ultrasound guided
adipose tissue
atrial fibrillation
type diabetes
metabolic syndrome
weight loss
patients undergoing
risk factors
human health
risk assessment
obese patients