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  • Title: Paradoxical hemodynamic collapse after subxiphoid pericardial window.
    Author: Liao BT, Lo SS.
    Journal: A A Case Rep; 2015 Mar 15; 4(6):65-7. PubMed ID: 25774750.
    Abstract:
    A 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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