case_images: PMC10876141_01
case_images: PMC10876141_02
case_images: A rim of pericardial effusion is seen (yellow arrows) in (a) mid-esophageal (ME) 4-chamber right ventricular focused view, (b) ME long axis view, (c) transgastric midpapillary short axis view, and (d) transgastric 2-chamber view
case_images: ACA-27-58-g001.jpg
case_images: PMC10876141_02_ACA-27-58-g001.jpg
case_images: aca_61_23-f001
case_images: During the transesophageal echocardiographic evaluation before cardiopulmonary bypass, we noticed a 10 mm and 5.8 mm pericardial effusion anterior to the right ventricle (RV) and posterior to the left ventricle, respectively [Figure 1 and Video 1].
case_images: The site of needle injury (white arrow) is seen on the surface of the right ventricle, which is close to a branch of the coronary artery (white arrowhead)
case_images: ACA-27-58-g002.jpg
case_images: PMC10876141_02_ACA-27-58-g002.jpg
case_images: aca_61_23-f002
case_images: TTP block [Figure 2]. The injury site was very close to the course of coronaries as well, although no coronary artery was injured. In our patient, the injury was very close to the course of the coronaries as seen in Figure 2.