Stuck pericardial pigtail catheter in purulent pericarditis: early surgery?

Akhilesh Gonuguntla, Anila Vasireddy, Aadithiyavikram Venkatesan, Revanth Maramreddy, Guruprasad Darbe Rai, Ganesh Sevagur Kamath, Arvind Kumar Bishnoi

Research output: Contribution to journalArticlepeer-review


Pyopericardium is rare in the modern antibiotic era but is still infrequently seen in the setting of immunosuppression, recent thoracic surgery and sepsis. Although classically an extension of a thoracic gram-positive bacterial infection, gram-negative bacterial purulent pericarditis may be encountered in the setting of nosocomial infections. Emergent pericardial drainage allows for prompt definitive management and planning for further intervention. Early surgery should be the priority after a failed retrieval of the catheter. Appropriate surgical methods should be employed to minimize complications associated with stuck catheters. We report a case of pyopericardium secondary to a clinically silent lung abscess in an immunocompetent 49-year-old patient. This was treated by standard pericardial drainage via a pigtail catheter. Multiple failed attempts in removal warranted a surgical approach to remove the coiled catheter. The catheter was found to be coiled around the heart with presence of clots in the pericardium.

Original languageEnglish
Pages (from-to)60-63
Number of pages4
JournalIndian Journal of Thoracic and Cardiovascular Surgery
Issue number1
Publication statusPublished - 01-2023

All Science Journal Classification (ASJC) codes

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine


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