Work

Delayed Tamponade After Transseptal Puncture

Year: 2025

Type: article

Abstract: Transseptal puncture (TSP) has evolved into a key step during various percutaneous interventions. We present a case of delayed TSP-related tamponade, which underscores the importance of vigilance even during commonly performed procedures. TSP is safest when the puncture is through the fossa ovalis, with increased risk in patients with certain anatomic features (eg, small or diminutive fossa). Despite standard precautions, this TSP resulted in delayed cardiac tamponade >2 hours postpuncture. An understanding of the embryologic anatomy of the interatrial septum and imaging is crucial for minimizing complications and ensuring optimal outcomes.

Source: JACC Case Reports

DOI: 10.1016/j.jaccas.2025.103379

Authors: Amitoj Singh, Gautam Gadey, Sherif B. Labib

Institutions: Lahey Hospital and Medical Center, Lahey Medical Center

Language: English

Topic: Cardiac Arrhythmias and Treatments

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $850