2018 Volume 40 Issue 3 Pages 185-190
Background. Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has been recognized as a useful and relatively safe procedure. We encountered a rare case of cardiac tamponade due to acute purulent pericarditis after EBUS-TBNA. Case. An 81-year-old man, who suffered from convulsive seizures induced by metastatic brain tumors, underwent EBUS-TBNA of the enlarged #10L mediastinal lymph node without complications and we diagnosed with non-small cell lung cancer. The patient was readmitted on the 14th day after receiving EBUS-TBNA for dyspnea from cardiac tamponade and underwent a pericardial drainage procedure in the treatment of purulent pericardial effusion. Purulent pericarditis was ameliorated by pericardial drainage for 12 days and antibiotic treatment for 26 days. Conclusion. We should be aware that EBUS-TBNA may induce serious complications such as acute pericarditis.
