This Article Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by LEVIN, A. R. Articles by CAPP, M. P. Search for Related Content PubMed PubMed Citation Articles by LEVIN, A. R. Articles by CAPP, M. P.

(Circulation. 1965;32:593.)
© 1965 American Heart Association, Inc.

---

Cardiac Perforation Following Left Ventricular Cineangiocardiography

AARON R. LEVIN M.B., B.CH., M.R.C.P.E.¹; MADISON S. SPACH M.D.¹; PAGE A. W. ANDERSON M.D.¹; M. PAUL CAPP M.D.¹

¹ From the Departments of Pediatrics and Radiology, Duke University Medical Center, Durham, North Carolina.

A case of perforation of the left ventricle during selective cineangiocardiography in a 27-month-old child with aortic stenosis is reported. Perforation was visualized during the power injection, and subsequent cardiac tamponade developed. Immediate pericardiocentesis resulted in rapid improvement and the child made an uneventful recovery. At cardiac surgery for aortic valvotomy 5 days later no abnormalities of the pericardium were noted but there was a small area of discoloration on the posterior left ventricular free wall. Prevention of poor catheter positioning is suggested as the major preventive measure to avoid such complications during selective ventricular angiocardiography.