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KMID : 0368119990290050523
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Korean Circulation Journal
1999 Volume.29 No. 5 p.523 ~ p.527
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Four Cases of Pericardial Tamponade Following Percutaneous Transluminal Coronary Angioplasty
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최종형/Jong Hyung Choi
임종윤/홍경순/박대균/두영철/한규록/오동진/유규형/고영박/이광학/이영/Chong Yun Rhm/Kyung Sun Hong/Dae Gyun Park/Young Cheoul Doo/Kyoo Rok Han/Dong Jin Oh/Kyu Hyung Ryu/Young Bahk Koh/Kwang Hack Lee/Young Lee
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Abstract
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Percutaneous transluminal coronary angioplasty (PTCA) is a relatively safe and
effective procedure in the treatment of coronary artery disease, but complications related
to dilating catheters and guide wires such as coronary artery dissection, spasm,
rupture, and perforation can be. Pericardial tamponade is a rare complication of cardiac
catheterization, and prompt diagnosis and proper management in lifesaving. We report 4
patients who developed pericardial tamponade following PTCA, presumably from coronay
artery or right ventricular perforation. All 4 patient received heparin during PTCA and
temporary pacemaker was placed in the right ventricle. Pericardial tamponade was
recognized in the catheterization laboratory in 1 patient, within 3 hours after leaving the
laboratory in 3 patients. Emergent pericardiocentesis was performed in all patients.
Three patients recovered and one patient died.
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