• A & A case reports · Mar 2015

    Case Reports

    Paradoxical hemodynamic collapse after subxiphoid pericardial window.

    • Benita T Liao and Sansan S Lo.
    • From the Anesthesiology Department, Columbia University, New York, New York.
    • A A Case Rep. 2015 Mar 15;4(6):65-7.

    AbstractA 56-year-old man with a history of coronary artery disease, 4 months of cough and shortness of breath, a new lung mass, and increasing hypoxemia presented to the operating room emergently for a subxiphoid pericardial window for cardiac tamponade. After 1200 mL of pericardial fluid was drained, the patient immediately went into acutely decompensated right heart failure as seen on a transesophageal echocardiogram. The patient had cardiovascular collapse refractory to high-dose vasopressors, necessitating emergent venous-arterial extracorporeal membrane oxygenation for successful resuscitation.

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