Delayed cardiac tamponade after catheter ablation therapy due to a Valsalva manoeuvre | Zendy

Maria Sol Siliato-Robles | Zendy; Juan M. Gracia-Baena | Zendy; José C. Sureda-Barbosa | Zendy; Albert Igual-Barceló | Zendy

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Delayed cardiac tamponade after catheter ablation therapy due to a Valsalva manoeuvre

Author(s) -

Maria Sol Siliato-Robles,

Juan M. Gracia-Baena,

José C. Sureda-Barbosa,

Albert Igual-Barceló

Publication year - 2018

Publication title -

european journal of cardio-thoracic surgery

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.303

H-Index - 133

eISSN - 1873-734X

pISSN - 1010-7940

DOI - 10.1093/ejcts/ezy232

Subject(s) - medicine , cardiac tamponade , tamponade , pericardium , ablation , surgery , catheter , catheter ablation , perforation , exertion , cardiology , inferior vena cava , punching , materials science , metallurgy

A 23-year-old man, diagnosed with Wolff-Parkinson-White syndrome and who had undergone several catheter ablations, presented 2 months after the most recent ablation with cardiac tamponade following physical exertion. Emergency surgery revealed a perforation between the inferior vena cava and the right atrium. This perforation was repaired with a bovine pericardium patch. To our knowledge, this is the first case of delayed cardiac tamponade after catheter ablation due to a Valsalva manoeuvre (such as weightlifting) in a patient with a normal international normalized ratio and normal platelet count.

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