{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T09:57:13Z","timestamp":1755597433842,"version":"3.40.5"},"reference-count":40,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T00:00:00Z","timestamp":1663804800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Cardiology"],"published-print":{"date-parts":[[2022,9,22]]},"abstract":"<jats:p>Background. Pericardiocentesis is a therapeutic lifesaving intervention for patients presenting with cardiogenic shock due to pericardial effusion with signs of tamponade. Pericardial decompression syndrome (PDS) is a rare fatal complication that may occur after pericardiocentesis. Case Presentation. We report a case of a patient with idiopathic primary pulmonary hypertension who presented with massive pericardial effusion complicated with rapid hemodynamic and respiratory deterioration. Gradual therapeutic pericardiocentesis was done but progressive circulatory collapse occurred. Emergent veno-arterial extracorporeal membrane oxygenation (VA-ECMO) was applied. Echocardiography revealed severe right ventricle failure. Unfortunately, the patient developed acute progressive thrombocytopenia and bilaterally diffuse subarachnoid hemorrhage after 4 days of ECMO support. Conclusions. Therapeutic pericardiocentesis can be occasionally fatal in cases of significant pulmonary hypertension with massive pericardial effusion when complicated by pericardial decompression syndrome. Acute significant thrombocytopenia may occur with VA-ECMO support resulting in fatal bleeding.<\/jats:p>","DOI":"10.1155\/2022\/5440635","type":"journal-article","created":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T17:35:05Z","timestamp":1663868105000},"page":"1-7","source":"Crossref","is-referenced-by-count":3,"title":["Emergency Veno-Arterial Extracorporeal Membrane Oxygenation for Pericardial Decompression Syndrome"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5069-2813","authenticated-orcid":true,"given":"Mohamed","family":"Laimoud","sequence":"first","affiliation":[{"name":"King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"},{"name":"Critical Care Medicine Department, Cairo University, Cairo, Egypt"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patricia","family":"Machado","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5520-0120","authenticated-orcid":true,"given":"Andrea Rossi","family":"Zadra","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9772-4934","authenticated-orcid":true,"given":"Mary","family":"Maghirang","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Alenazy","sequence":"additional","affiliation":[{"name":"King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/j.gene.2018.09.020"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2017.12.010"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.chest.2018.08.1033"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2018.09.043"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv318"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.11.021"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.09.015"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1177\/0003319706291147"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/s10396-016-0738-5"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1016\/S0167-5273(97)02918-5"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1136\/bcr.02.2011.3837"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejheart.2005.05.012"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1213\/XAA.0000000000000120"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1532\/hsf.1227"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1136\/bcr-2015-211550"},{"issue":"5","key":"16","first-page":"711","article-title":"Paradoxical hemodynamic instability complicating pericardial window surgery for cardiac tamponade in a cancer patient","volume":"39","author":"M. Abdelsalam","year":"2012","journal-title":"Texas Heart Institute Journal"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198309083091006"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1177\/2048872614547975"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1177\/2048872614557771"},{"issue":"5","key":"20","first-page":"338","article-title":"Development of left ventricular apical akinesis and thrombus during pericardiocentesis for pericardial tamponade","volume":"36","author":"S. Sevimli","year":"2008","journal-title":"T\u00fcrk Kardiyoloji Derne\u011fi Ar\u015fivi"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-119-1-199307010-00007"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehv194"},{"key":"23","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/3129864"},{"key":"24","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.118.004905"},{"key":"25","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-11-1015"},{"key":"26","doi-asserted-by":"publisher","DOI":"10.1186\/s43044-020-00053-5"},{"key":"27","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000001865"},{"key":"28","doi-asserted-by":"publisher","DOI":"10.1186\/s43044-021-00143-y"},{"key":"29","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.10.095"},{"key":"30","doi-asserted-by":"publisher","DOI":"10.1136\/pgmj.2007.059188"},{"key":"31","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.104.518563"},{"key":"32","doi-asserted-by":"publisher","DOI":"10.1111\/j.1538-7836.2006.01787.x"},{"issue":"2","key":"33","first-page":"148","article-title":"Laboratory diagnosis of immune heparin-induced thrombocytopenia","volume":"2","author":"T. E. Warkentin","year":"2003","journal-title":"Current Hematology Reports"},{"key":"34","doi-asserted-by":"publisher","DOI":"10.1182\/blood-2012-07-443051"},{"key":"35","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0609.2005.00621.x"},{"key":"36","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2008.03.044"},{"key":"37","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-020-06031-4"},{"key":"38","doi-asserted-by":"publisher","DOI":"10.1111\/jth.13497"},{"key":"39","doi-asserted-by":"publisher","DOI":"10.1016\/j.healun.2018.03.013"},{"key":"40","doi-asserted-by":"publisher","DOI":"10.1186\/s13613-018-0475-6"}],"container-title":["Case Reports in Cardiology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2022\/5440635.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2022\/5440635.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cric\/2022\/5440635.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,22]],"date-time":"2022-09-22T17:35:15Z","timestamp":1663868115000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/cric\/2022\/5440635\/"}},"subtitle":[],"editor":[{"given":"Gopal Chandra","family":"Ghosh","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,9,22]]},"references-count":40,"alternative-id":["5440635","5440635"],"URL":"https:\/\/doi.org\/10.1155\/2022\/5440635","relation":{},"ISSN":["2090-6412","2090-6404"],"issn-type":[{"type":"electronic","value":"2090-6412"},{"type":"print","value":"2090-6404"}],"subject":[],"published":{"date-parts":[[2022,9,22]]}}}