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THE JOURNAL OF CARDIOVASCULAR SURGERY

Rivista di Chirurgia Cardiaca, Vascolare e Toracica


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

lingua: Inglese

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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