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European Journal of Heart Failure 2006 8(1):102-104; doi:10.1016/j.ejheart.2005.05.012
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© 2005 European Society of Cardiology

Transient biventricular dysfunction following pericardiocentesis

Carmen Ligero*, Ruben Leta and Antoni Bayes-Genis

Servei de Cardiologia, Hospital de la Santa Creu i Sant Pau C/Sant Antoni Ma Claret 167, 08025, Barcelona, Spain

* Corresponding author. Tel.: +34 93 291 92 94; fax: +34 93 291 94 24. E-mail address: cligeroferrer{at}hotmail.com


  Abstract

We report the case of a 41-year-old woman admitted to the hospital due to cardiac tamponade as the first manifestation of a pulmonary neoplasm. The patient developed an early biventricular dysfunction and pulmonary edema after removal of the pericardial effusion, with complete recovery within ten days. Since transient ventricular dysfunction after pericardiocentesis is a very unusual complication, we present a review of the different mechanisms suggested in the literature to explain the pathophysiology of this rare phenomenon.

Key Words: Ventricular dysfunction • Cardiac tamponade • Pericardiocentesis

Received September 25, 2004; Revised January 26, 2005; Accepted May 23, 2005


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