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Pericardial tamponade: a rare complication of sternal bone marrow biopsy

Petr Santavy, Martin Troubil, Vladimir Lonsky

Authors information
  • Petr Santavy
    Department of Cardiac Surgery, Palacky University Teaching Hospital, Olomouc, Czech Republic. petr.santavy@fnol.cz
  • Martin Troubil
    Department of Cardiac Surgery, Palacky University Teaching Hospital, Olomouc, Czech Republic.
  • Vladimir Lonsky
    Department of Cardiac Surgery, Palacky University Teaching Hospital, Olomouc, Czech Republic.

Abstract


Injury of the heart with concomitant pericardial tamponade as a result of sternal bone marrow biopsy is rare. An 80-year-old man was admitted with dehydration and non-specified abdominal pain to the regional hospital. Sternal aspiration biopsy was performed because of anemia and thrombocytopenia. Later on, because of the back pain, general weakness and blood pressure drop, an echocardiography examination was indicated. Pericardial fluid collection was found. Anticipated ascending aortic dissection was excluded on computed tomography scan, but pericardial fluid collection was confirmed. Transfer to our cardiac surgical facility ensued. Limited heart tamponade was affirmed on echocardiography and surgery was immediately indicated. Blood effusion was found in upper mediastinal fat tissue and 300 mL of blood were evacuated from opened pericardial space. Stab wound by sternal biopsy needle at the upper part of ascending aorta was repaired by pledgeted suture. Postoperative course was uneventful.

Keywords


bone marrow biopsy, pericardial tamponade, aortic injury

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Submitted: 2013-05-13 21:38:58
Published: 2013-09-24 09:50:27
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Hematology Reports [eISSN 2038-8330] is an Open Access, peer-reviewed journal published by PAGEPress, Pavia, Italy. All credits and honors to PKP for their OJS.

 
 
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