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Thorac Cardiovasc Surg 2013; 61(07): 610-611
DOI: 10.1055/s-0033-1333846
Case Report
Georg Thieme Verlag KG Stuttgart · New York

Aortic Mispuncture during Routine Catheterization Requires Emergency Cardiac Operation

Philipp Seppelt
1   Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, BW, Germany
,
Matthias Karck
1   Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, BW, Germany
,
Klaus Kallenbach
1   Department of Cardiac Surgery, University Hospital Heidelberg, Heidelberg, BW, Germany
› Author Affiliations
Further Information

Publication History

15 August 2012

22 October 2012

Publication Date:
01 July 2013 (online)

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Abstract

Transseptal puncture for left heart catheter or left atrial appendage occlusion is a highly standardized routine intervention in interventional cardiology. However, mispuncture is rare but can be life threatening at worst. Here, we report the case of a combined mispuncture of the right atrium and the ascending aorta resulting in a pericardial effusion with a hemodynamic effective tamponade requiring urgent cardiac operation for successful life saving.

Keywords

cardiac catheterization - cardiac intervention - shock (systemic cardiac or circulatory) - surgery - incisions - trauma
 

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