title: Cardiac tamponade complicated by acupuncture: hemopericardium due to shredded coronary artery injury.
abstract: We report a case of 62-year-old man with cardiac tamponade due to coronary artery injury after acupuncture into the substernum. After resuscitation of cardiac arrest, we performed emergent pericardiocentesis. Nevertheless, the cardiac arrest recurred, and the emergent operation on cardiopulmonary bypass was performed. We identified hemopericardium due to shredded acute marginal branch of right coronary artery, and it was ligated leading to termination of bleeding. The patient was discharged without any other complications.
authors.affiliation: Division of Cardiology, Department of Internal Medicine, School of Medicine, Kangwon National University, 156 Baengnyeong-ro, Chuncheon 200-722, Korea.
authors.forename: Ae-Young
authors.initials: AY
authors.lastname: Her
authors.forename: Yong Hoon
authors.initials: YH
authors.lastname: Kim
authors.forename: Se-Min
authors.initials: SM
authors.lastname: Ryu
authors.forename: Jun Hwi
authors.initials: JH
authors.lastname: Cho
mesh_terms: D015670:Acupuncture Therapy / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000175:diagnosis* / Q000209:etiology; D003331:Coronary Vessels / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010490:Pericardial Effusion / Q000175:diagnosis* / Q000209:etiology
keywords: Cardiac tamponade; acupuncture; coronary artery
references.citation: Complement Ther Med. 2001 Jun;9(2):98-104
references.pmid: 11444889
references.citation: Int J Cardiol. 2011 Jun 16;149(3):287-9
references.pmid: 21093944
references.citation: Int J Clin Pract. 2010 Oct;64(11):1496-1502
references.pmid: 20698902
references.citation: Acupunct Med. 2004 Sep;22(3):122-33
references.pmid: 15551936
references.citation: Chin J Integr Med. 2009 Jun;15(3):229-32
references.pmid: 19568718