Asymptomatic Pneumopericardium with Atrial Fibrillation after Pericardiocentesis: A Case Report

Autor: Afrasyab Altaf, Momin Salahudin, Hammad Shah
Rok vydání: 2019
Předmět:
Zdroj: The Journal of Tehran University Heart Center
Journal of Tehran University Heart Center, Vol 14, Iss 3 (2019)
ISSN: 2008-2371
1735-8620
Popis: Air inside the pericardial cavity is called “pneumopericardium”, which is a rare complication of pericardiocentesis. Pneumopericardium may resolve spontaneously or can complicate into tension pericardium, requiring urgent aspiration. We herein describe a 55-year-old man with pericardial effusion who underwent pericardiocentesis. The patient was completely asymptomatic after the procedure. Chest radiograph and computed tomography scan accidentally detected pneumopericardium, which was subsequently complicated by atrial fibrillation and necessitated pharmacological cardioversion. We found no case of asymptomatic pneumopericardium complicated by atrial fibrillation after pericardiocentesis in our literature review. Clinicians and cardiologists should do a post pericardiocentesis chest X-ray to diagnose pneumopericardium and prevent the catastrophic complications of tension pneumopericardium.
Databáze: OpenAIRE