The postprocedure complications including uterine contraction, fetal arrhythmia and hemopericardium
The central CT fnding in hemopericardium
is the presence of dense pericardial fuid in varying amounts (Fig.
We also held his rivaroxaban due to abnormal clotting profile and finding of hemopericardium
on imaging studies.
If the patient is hemodynamically unstable or with cardiac tamponade, like the patient who is stable, but hemopericardium
is confirmed, the management is surgical with drainage of the pericardial sac followed by cardiorrhaphy.
This procedure has also several life threatening complications such as acute pulmonary edema, myocardial infarction, cardiac perforation, cardiac tamponade, acute mitral regurgitation, hemopericardium
, thrombus formation, systemic and pulmonary embolism, permanent atrial septal defect, cardiogenic shock, and neurological deficit with an overall incidence of 12% [1, 2].
These findings were indicative of chronic and active hemorrhage (ie, hemopericardium
The emergency physician then performed an emergent thoracotomy, which revealed cardiac tamponade due to a hemopericardium
. This was emergently treated with opening of the pericardial sac and evacuation of the effusion.
may result from thrombolytic and glycoprotein Ilb/IIIa inhibitor therapy, LVFWR should always be considered the leading diagnosis in a patient with AMI who is hypotensive and has pericardial effusion.
and cardiac tamponade in a patient with an elevated international normalized ratio.
, hemothorax, and pneumothorax were also included.
is a rare condition in the setting of blunt chest trauma, usually caused by venous hemorrhage but may also be caused by cardiac injury or secondary to ascending aorta rupture.
Thus, an inadvertent puncture throughout the interatrial groove (muscular IAS) may result in hemopericardium
especially in a highly anticoagulated patient because blood will dissect the vascularized fibrofatty tissue that is sandwiched between the right and left atrial walls at this level .