Acute cardiac tamponade caused by misperforation of the aorta during transseptal puncture without thoracotomy:a case report
10.3969/j.issn.1004-8812.2025.08.008
- VernacularTitle:非开胸处理房间隔穿刺时误穿主动脉致急性心脏压塞1例
- Author:
Wei YU
1
;
Xiang GU
Author Information
1. 江苏省苏北人民医院心内科,江苏 扬州 225001;扬州大学医学院海安临床学院心病科,江苏 南通 226600
- Publication Type:Journal Article
- Keywords:
Transseptal puncture;
Aortic perforation;
Cardiac tamponade
- From:
Chinese Journal of Interventional Cardiology
2025;33(8):474-476
- CountryChina
- Language:Chinese
-
Abstract:
The penetrating cardiovascular injury is a complication that may lead to serious adverse consequences in electrophysiology.Studies have shown that the risk of aortic injury during transseptal puncture is about 0.05%-0.09%.Improper treatment will cause acute cardiac tamponade,delay the rescue time and even threaten the patient's life.At present,there are few reports on specific procedures for such situations,and the guidelines do not provide operational plans.Therefore,the collection and the statistical analysis is necessary.The author reported the treatment procedure of accidental penetration of the aorta and acute cardiac tamponade during transseptal puncture.