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A young adult patient who needed extracorporeal membrane oxygenation after pericardiocentesis due to post-pericardiotomy syndrome

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We report a 27-year-old woman who presented with orthopnea, which occurred after undergoing an open-heart surgery, atrial septal defect closure with mitral valve cleft repair. Pericardiocentesis was successfully performed; however, she subsequently developed circulatory collapse, necessitating the application of extracorporeal membrane oxygenation. Pericardial decompression syndrome is a potentially fatal complication, and clinicians should be aware of this risk when performing pericardiocentesis.

Abstract

We report a 27-year-old woman who presented with orthopnea, which occurred after undergoing an open-heart surgery, atrial septal defect closure with mitral valve cleft repair. Pericardiocentesis was successfully performed; however, she subsequently developed circulatory collapse, necessitating the application of extracorporeal membrane oxygenation. Pericardial decompression syndrome is a potentially fatal complication, and clinicians should be aware of this risk when performing pericardiocentesis.

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