title: Severe right ventricular and tricuspid valve dysfunction after pericardiocentesis.
abstract: Pericardiocentesis is performed to treat cardiac tamponade or diagnose the cause of pericardial effusion. Cardiogenic shock with right ventricular (RV) dysfunction is a rare complication after pericardiocentesis. We report a case of an 82-year-old man who suddenly suffered cardiopulmonary arrest 12 h after pericardiocentesis. A transthoracic echocardiogram showed remarkable RV dysfunction and tricuspid valve dysfunction. Tricuspid valve closure was severely impaired, and the tricuspid regurgitation signal showed laminar flow with an early peak. However, after treatment with high-dose inotropic drugs, hemodynamic parameters gradually recovered. A transthoracic echocardiogram performed 24 h later showed improved motion of the RV and the tricuspid valve, resulting in a reduction in tricuspid regurgitation. RV and tricuspid valve dysfunction after pericardiocentesis needs to be recognized as a critical complication. Physicians also need to pay attention to not only the amount of drainage but also underlying RV dysfunction.
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
authors: Maiko
authors: M
authors: Kuroda
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan. m_amano_swyt@yahoo.co.jp.
authors: Masashi
authors: M
authors: Amano
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
authors: Soichiro
authors: S
authors: Enomoto
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
authors: Makoto
authors: M
authors: Miyake
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
authors: Hirokazu
authors: H
authors: Kondo
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
authors: Toshihiro
authors: T
authors: Tamura
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
authors: Kazuaki
authors: K
authors: Kaitani
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
authors: Chisato
authors: C
authors: Izumi
authors: Department of Cardiology, Tenri Hospital, 200 Mishima-cho, Tenri, Nara, 632-8552, Japan.
authors: Yoshihisa
authors: Y
authors: Nakagawa
mesh_terms: D000369:Aged, 80 and over; D004417:Dyspnea / Q000000981:diagnostic imaging / Q000628:therapy; D004452:Echocardiography; D006323:Heart Arrest / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000000981:diagnostic imaging / Q000628:therapy; D008297:Male; D020519:Pericardiocentesis / Q000009:adverse effects*; D010493:Pericarditis / Q000000981:diagnostic imaging / Q000628:therapy; D014262:Tricuspid Valve Insufficiency / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D018497:Ventricular Dysfunction, Right / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000503:physiopathology; D016277:Ventricular Function, Left
keywords: Cardiogenic shock; Pericardial effusion; Pericardiocentesis; Right ventricular dysfunction; Tricuspid valve dysfunction