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THE JOURNAL OF CARDIOVASCULAR SURGERY

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The Journal of Cardiovascular Surgery 1998 April;39(2):245-7

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Intraoperative cardiac tamponade complicating esophagogastrectomy

Levitt M. A., Cunningham J. D., Curtiss S. I., Brower S. T.

From the Department of Surgery, the Mount Sinai Hospital, New York, New York, USA


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Background. Thoracoabdominal eso­phag­o­gas­trec­to­my is asso­ciat­ed ­with a num­ber of poten­tial ­life-threat­en­ing com­pli­ca­tions.
Patients. We ­describe a ­patient ­with intra­op­er­a­tive hypo­ten­sion in ­which a num­ber of ther­a­peu­tic maneu­vers even­tu­al­ly ­led to ­the diag­no­sis of car­diac tam­po­nade.
Results. Once ­the diag­no­sis of tam­po­nade ­was ­made, it ­was suc­cess­ful­ly treat­ed by ­the ­release of intra­per­icar­dial ­blood.
Conclusions. Although ­rare, tam­po­nade ­should be con­sid­ered as a ­cause of hemo­dy­nam­ic instabil­ity when­ev­er intra­op­er­a­tive manip­u­la­tion of ­the ­heart ­has ­occurred.

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