Abstract
A 73-year-old male patient with a 3-year history of hemodialysis was admitted for the treatment of pericardial effusion. Echocardiography suggested a diagnosis of effusive pericarditis. Pericardiocentesis was performed several times. Six weeks after the admission, the patient developed cardiac tamponade. Surgical pericardiotomy showed the epicardium had a diffuse shaggy and hemorrhagic surface. To control diffuse oozing, fibrin sealant patches (Tachosil; CSL Behring, Tokyo, Japan) were attached to the epicardium. Oozing was then controlled.
Highlights
A 73-year-old male patient with a 3-year history of hemodialysis became dyspneic
Because we expected that pericardial effusion would continue, we proposed the formation of a peritoneal window from the pericardial space to the peritoneal space
The pericardial drain was removed on postoperative day 6 and colchicine was started to control pericarditis [1]
Summary
Echocardiography performed at an affiliated hospital suggested a diagnosis of effusive pericarditis. Pericardial effusion rapidly recurred, and the patient was transferred to our hospital. Pericaridocentesis using a pig tail catheter revealed that the bloody pericardial effusion was not infective. After undergoing five recurrent pericardiocentesis procedures, the patient developed cardiac tamponade and went into cardiopulmonary arrest.
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