Farinas Lugo Daniel, Chalasani Prasad, Del Calvo Veronica
Department of Cardiology, College of Medicine, Florida State University, Tallahassee, Florida, USA.
BMJ Case Rep. 2019 Apr 8;12(4):e227613. doi: 10.1136/bcr-2018-227613.
Left ventricular puncture during a thoracentesis is a rare and unusual complication that has yet to be reported. We report a case in which a 74-year-old woman with dilated ischaemic heart disease suffered from puncture of the left ventricle during a routine ultrasound-guided thoracentesis despite following the recommended protocol and procedures. She became haemodynamically unstable and underwent an emergent thoracotomy for removal of the catheter and repair of the left ventricular wall.
胸腔穿刺过程中发生左心室穿刺是一种罕见且不寻常的并发症,尚未见报道。我们报告一例病例,一名74岁患有扩张型缺血性心脏病的女性,在常规超声引导下胸腔穿刺过程中,尽管遵循了推荐的方案和操作流程,仍发生了左心室穿刺。她出现血流动力学不稳定,随后接受了紧急开胸手术以取出导管并修复左心室壁。