GKD Anest Yoð Bak Dern Derg. 2018; 24(4): 176-179 | DOI: 10.5222/GKDAD.2018.00821

Perikardiyosentez iþleminde geliþen sað ventrikül perforasyonunun cerrahi tedavisi ve anestezik yönetimi

Hanife Karakaya Kabukçu¹, Osman Nuri Tuncer^2
1Akdeniz Üniversitesi Týp Fakültesi Anesteziyoloji Ve Reanimasyon Ana Bilim Dalý Antalya Türkiye
²Akdeniz Üniversitesi Týp Fakültesi Kalp Cerrahisi Ana Bilim Dalý Antalya Türkiye

Perikardiyal tamponad yaþamý tehdit eden bir durum olduðu için hýzlý taný konulmalý ve acilen tedavi edilmelidir. Perikardiyosentez, kardiyak tamponad varlýðýnda etkili bir yöntemdir ve hayat kurtarýcý olabilir.
80 yaþýnda kadýn hastaya, kardiyak tamponad nedeniyle acil kateter ile perkütan drenaj giriþiminde bulunulmuþ, iþlem sonrasý kateterden fibrine kan gelmesi üzerine yapýlan ekokardiyografik incelemede yerleþtirilen kateterin ucunun sað ventrikül içerisinde olduðunun saptanmasý üzerine hasta acil olarak operasyona alýndý. Bu olgu sunumunda, cerrahi olarak kateterin çýkarýlmasý ve anestezik yönetimi sunulmuþtur.

Anahtar Kelimeler: kardiyak tamponad, perkutan kateter komplikasyonu, anestezi

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Surgical treatment and anesthetic management of right ventricular perforation during pericardiocentesis

Hanife Karakaya Kabukçu¹, Osman Nuri Tuncer^2
1Akdeniz University Medical Faculty, Department of Anesthesiology and Reanimation Antalya Turkey
²Akdeniz University Medical Faculty, Department Of Heart Surgery Antalya Turkey

Because the pericardial tamponade is a life-threatening situation, it must be diagnosed quickly and treated immediately. Pericardiocentesis is an effective method in case of cardiac tamponade presence and can be life-saving. A percutaneous drainage intervention with catheter was performed urgently on an 80-year-old female patient due to cardiac tamponade, and the patient was urgently taken into operation when it was determined that the placed catheter tip was inside the right ventricle in the echocardiographic examination, which was applied after blood with fibrin came from the catheter following the procedure. In this case presentation, surgical removal of the catheter and anesthetic method are presented.

Keywords: Cardiac tamponade, percutaneous catheter complication, anesthesia

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ATIF KOPYALA