title: Direct transatrial pericardiocentesis for tamponade caused by left atrial perforation after trans-septal puncture.
abstract: Trans-septal puncture is associated with risks of serious complications. We report a case of an obese 52-year-old man with hypertrophic cardiomyopathy who underwent preoperative coronary angiography and cardiac catheterisation complicated by left atrial perforation. We describe a direct transatrial pericardiocentesis approach to treating cardiac tamponade.
authors.affiliation: Interventional Cardiology, Montreal Heart Institute, Montreal, Quebec, Canada.
authors.forename: Fabien
authors.initials: F
authors.lastname: Picard
authors.affiliation: Interventional Cardiology, Montreal Heart Institute, Montreal, Quebec, Canada.
authors.forename: Xavier
authors.initials: X
authors.lastname: Millán
authors.affiliation: Interventional Cardiology, Montreal Heart Institute, Montreal, Quebec, Canada.
authors.forename: Quentin
authors.identifier: http://orcid.org/0000-0002-6131-1510
authors.initials: Q
authors.lastname: de Hemptinne
authors.affiliation: Interventional Cardiology, Montreal Heart Institute, Montreal, Quebec, Canada.
authors.forename: Philippe
authors.initials: P
authors.lastname: L L'allier
mesh_terms: D006328:Cardiac Catheterization / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D002312:Cardiomyopathy, Hypertrophic / Q000150:complications*; D017548:Echocardiography, Transesophageal; D006325:Heart Atria / Q000000981:diagnostic imaging / Q000293:injuries; D006346:Heart Septum / Q000000981:diagnostic imaging / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D020519:Pericardiocentesis / Q000379:methods*; D011677:Punctures