title: Iatrogenic Cardiac Tamponade During Endovascular Aortic and Mesenteric Stent Grafting: A Case Report.
abstract: The authors report a case of left ventricular perforation and cardiac tamponade in a patient undergoing endovascular aortic and mesenteric stent grafting. During the procedure, the anesthetist noticed a sudden increase in central venous pressure and a decrease in blood pressure. Cardiac tamponade was suspected and confirmed by transesophageal echocardiography. Pericardiotomy resulted only in temporary stabilization. Emergency sternotomy revealed left ventricular perforation. Both anesthetists and radiologists have to be aware of such rare but severe complications of interventional procedures.
authors.affiliation: From the *Department of Anaesthesiology and Critical Care Medicine; †Department of Vascular Surgery; and ‡Department of Radiology, Medical University of Innsbruck, Innsbruck, Austria.
authors.forename: Ingrid
authors.initials: I
authors.lastname: Haller
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Lederer
authors.forename: Martina
authors.initials: M
authors.lastname: Stichlberger
authors.forename: Lydia
authors.initials: L
authors.lastname: Posch
authors.forename: Rafael
authors.initials: R
authors.lastname: Rehwald
authors.forename: Martin C
authors.initials: MC
authors.lastname: Freund
authors.forename: Bernhard
authors.initials: B
authors.lastname: Glodny
authors.forename: Franz J
authors.initials: FJ
authors.lastname: Wiedermann
mesh_terms: D000368:Aged; D001014:Aortic Aneurysm / Q000150:complications / Q000601:surgery*; D002305:Cardiac Tamponade / Q000209:etiology* / Q000601:surgery; D002311:Cardiomyopathy, Dilated / Q000150:complications; D057510:Endovascular Procedures / Q000009:adverse effects*; D006335:Heart Injuries / Q000209:etiology* / Q000601:surgery; D006352:Heart Ventricles / Q000293:injuries*; D006801:Humans; D007049:Iatrogenic Disease; D008297:Male; D008638:Mesenteric Arteries / Q000601:surgery*; D010492:Pericardiectomy; D015607:Stents