Two Cases of Delayed Cardiac Tamponade due to Pericarditis after Pulmonary Vein (PV) Isolation for Atrial Fibrillation
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- Torihashi Sadayoshi
- Department of Cardiology, Kyoto Min-iren Chuo Hospital, Japan
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- Shiraishi Hirokazu
- Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Japan
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- Hamaoka Tetsuro
- Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Japan
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- Imai Mikimasa
- Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Japan
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- Kuroyanagi Akira
- Department of Cardiology, Biwako Ohashi Hospital, Japan
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- Nakanishi Naohiko
- Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Japan
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- Nakamura Takeshi
- Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Japan
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- Yamano Tetsuhiro
- Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Japan
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- Matsumuro Akiyoshi
- Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Japan
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- Shirayama Takeshi
- Department of Cardiovascular Medicine, Kyoto Prefectural University of Medicine, Japan
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抄録
Catheter ablation is an established treatment for atrial fibrillation (AF). The incidence of major complications related to the procedure is reported to be 4.5%, and delayed cardiac tamponade (DCT) is a rare, although recently recognized, complication. However, the mechanisms underlying the development of DCT remain unclear. We herein report the cases of two men, both 49 years of age, who developed cardiac tamponade requiring pericardiocentesis a few weeks after undergoing pulmonary vein isolation for persistent AF. Physicians should explain to the patient the potential for DCT as a complication prior to performing catheter ablation and provide careful follow-up for at least a few weeks after the session.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 54 (7), 791-796, 2015
一般社団法人 日本内科学会