Recurrent Cardiac Tamponade Complicated by Coronary Intervention.
10.4070/kcj.1998.28.12.2051
- Author:
Soo Hoon LEE
;
Kwang Soo CHA
;
Jeong Woon PARK
;
Jong Hoon LEE
;
Seung Wook PARK
;
Jeong Hyun LIM
;
Sam Yong JI
;
Wook Don YUN
;
Moo Hyun KIM
;
Young Dae KIM
;
Jong Seong KIM
- Publication Type:Case Report
- Keywords:
Cardiac tamponade;
Coronary intervention;
Antiplatelet therapy
- MeSH:
Angioplasty, Balloon;
Blood Platelets;
Cardiac Tamponade*;
Heparin;
Percutaneous Coronary Intervention;
Pericardiocentesis;
Stents
- From:Korean Circulation Journal
1998;28(12):2051-2055
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Coronary perforation is a rare, but potentially catastrophic complication of percutaneous coronary intervention. It rarely results in cardiac tamponade with the use of standard anticoagulant regimens. But spontaneous cardiac tamponade was reported recently during balloon angioplasty under the large dose of heparin infusion, and after stent implantation under powerful antiplatelet therapy including platelet IIb/IIIa receptor inhibitor administration. We report a case of delayed cardiac tamponade complicated by guidewire manipulation under powerful anticoagulant and antiplatelet therapy, which recurred early after the first pericardiocentesis.