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Donald B. Effler, MD; Floyd D. Loop, MD; Nicola Spampinato, MD

AMA Arch Surg. 1971;103(2):189-190.

Abstract
Percutaneous myocardial biopsy and ventricular perforation during cardiac catheterization may produce acute cardiac tamponade. Compression of the heart results from hemorrhage and the osmotic attraction of effusion from the intrapericardial dye or blood. Prompt recognition and early surgical intervention is emphasized. Experience with 20 emergency cases shows that anterolateral thoracotomy and pericardial window is a safe and effective method of treatment.

Author Affiliations
Cleveland

From the Department of Thoracic and Cardiovascular Disease, Cleveland Clinic Foundation.

Footnotes
Accepted for publication March 22, 1971.

Read before the 28th annual meeting of the Central Surgical Association, Minneapolis, March 5, 1971.

Reprint requests to Cleveland Clinic Foundation, 2020 E 93rd St, Cleveland 44106 (Dr. Effler).

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