Pericardiocentesis in Severe Pulmonary Arterial Hypertension Guided by a Pulmonary Artery Catheter

Arushi Singh; Ramya Mosarla; Kristen Carroll; Roxana Sulica; Raymond Pashun; Sripal Bangalore; Eugene Yuriditsky

doi:10.1016/j.jaccas.2024.102339

Pericardiocentesis in Severe Pulmonary Arterial Hypertension Guided by a Pulmonary Artery Catheter

JACC Case Rep. 2024 May 1;29(12):102339. doi: 10.1016/j.jaccas.2024.102339. eCollection 2024 Jun 19.

Authors

Arushi Singh¹, Ramya Mosarla¹, Kristen Carroll², Roxana Sulica³, Raymond Pashun¹, Sripal Bangalore¹, Eugene Yuriditsky¹

Affiliations

¹ Leon H. Charney Division of Cardiology, New York University Grossman School of Medicine, New York, New York, USA.
² Division of Hospital Medicine, New York University Grossman School of Medicine, New York, New York, USA.
³ Division of Pulmonary, Critical Care, and Sleep Medicine, New York University Grossman School of Medicine, New York, New York, USA.

Abstract

Patients, often with underlying rheumatologic disease, may present with pericardial effusions in the setting of pulmonary hypertension (PHTN). Pericardial drainage in PHTN is associated with significant morbidity and mortality. We describe a patient with PHTN who developed cardiac tamponade that was managed safely and effectively with pulmonary artery catheter-guided pericardiocentesis.

Keywords: pericardial tamponade; pericardiocentesis; pulmonary arterial hypertension; pulmonary artery catheter.

Publication types

Case Reports