Open AccessEthanol injection into the Marshall vein provoking a pericardial effusion resulting in a fatal complication in a patient with persistent atrial fibrillation
Author(s) -
Kato Kazuo,
Igawa Osamu,
Morimoto Shinichiro,
Kametani Ryosuke,
Tanaka Akimitsu,
Hattori Hideo
Publication year - 2017
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.1076
Subject(s) - medicine , hemopericardium , pericardial effusion , atrial fibrillation , complication , surgery , cardiology , hemodialysis , vein , anesthesia , cardiac tamponade
Key Clinical Message An EIM (ethanol infusion into the vein of Marshall [ VOM ]) provoked a fatal complication in a chronic hemodialysis patient. Autopsy revealed a lacerated VOM covered with thrombi as the only potential cause. The EIM caused vascular damage and clots resulting in myocardial necrosis and interstitial bleeding around the lacerated VOM .