Intensive Care Medicine

, Volume 17, Issue 5, pp 299–301 | Cite as

Percutaneous balloon pericardiostomy for non-surgical management of recurrent pericardial tamponade: A case report

  • Z. D. Hajduczok
  • D. W. Ferguson
Case Reports

Abstract

We report the case of a 26-year-old male with recurrent hemorrhagic cardiac tamponade occurring after initial management by needle pericardiocentesis and pigtail catheter drainage. As an alternative to open surgical pericardial fenestration, a percutaneous balloon pericardiostomy was performed with an 18 mm balloon catheter and over-the-wire insertion of a 16 F chest tube for 72 h of pericardial drainage. This non-surgical approach resulted in successful resolution of recurrent cardiac tamponade.

Key words

Tamponade Balloon dilation 

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References

  1. 1.
    Lorrell BH, Grossman W (1986) Profiles in constrictive pericarditis, restrictive cardiomyopathy, and cardiac tamponade. In: Grossman W (ed) Cardiac catheterization and angiography. Lea and Febinger, Philadelphia, 3rd edn. pp 427–445Google Scholar
  2. 2.
    Larrey DJ (1829) New surgical procedure to opten the pericardium and determine the cause of fluid in its cavity. Clin Chir 36:393Google Scholar
  3. 3.
    Palatianos GM, Thurer RJ, Kaiser GA (1985) Comparison of effectiveness and safety of operations on the pericardium. Chest 88:30–33Google Scholar
  4. 4.
    Piehler JM, Pluth JR, Schaff HV, Danielson GK, Orszulak TA, Puga FJ (1986) Surgical management of effusive pericardial disease. J Thorac Cariovasc Surg 90:506–516Google Scholar
  5. 5.
    Singh S, Wann LS, Schuchard GH, Klopfenstein HS, Leimgruber PP, Keelan MH, Brooks HL (1984) Right ventricular and right atrial collapse in patients with cardiac tamponade—a combined echocardiographic and hemodynamic study. Circulation 70: 966–971Google Scholar
  6. 6.
    Kircher B, Himelman RB, Schiller NB (1988) Right atrial pressure estimation from respiratory behavior of the inferior vena cava. Circulation 78:II-500Google Scholar
  7. 7.
    Clancy DI, Kichter MA (1975) Catheter drainage of the pericardial space. Cathet Cardiovasc Diagn 1:311–315Google Scholar
  8. 8.
    Wei JY, Taylor GJ, Ashuff SC (1978) Recurrent cardiac tamponade and large pericardial effusions: management with an indwelling pericardial catheter. Am J Cardiol 421:281–282Google Scholar
  9. 9.
    Palacios IF, Tuzcu EM, Block PC (1990) Percutaneous balloon pericardial window in patients with malignant pericardial tamponade. J Am Coll Cardiol 15:103AGoogle Scholar
  10. 10.
    Spodick DH (1983) The normal and diseased pericardium: current concepts of pericardial physiology, diagnosis and treatment. J Am Coll Cardiol 1:240–251Google Scholar

Copyright information

© Springer-Verlag 1991

Authors and Affiliations

  • Z. D. Hajduczok
    • 1
  • D. W. Ferguson
    • 1
  1. 1.Cardiovascular Intensive Care Unit, Cardiovascular Division, Department of Internal MedicineUniversity of Iowa Hospitals and ClinicsIowa CityUSA

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