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During the mitraclip procedure for mitral regurgitation, a pericardial effusion was noted after transseptal puncture with a brk needle and advancement of the swartz sheath.Transseptal puncture was performed with the brk needle and prior to inserting the mitraclip devices, a pericardial effusion was noted after advancing the sheath into the left atrium.When the pericardial effusion was noted, the patient experiences a drop in blood pressure.The procedure was stopped, and a pericardiocentesis was performed.An attempt was made to continue the mitraclip procedure; however, the patient was hemodynamically unstable and the physician preferred to remove the device and stop the procedure again.The patient was stable after the procedure and there were no further adverse patient health consequences.
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