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THE JOURNAL OF CARDIOVASCULAR SURGERY
Rivista di Chirurgia Cardiaca, Vascolare e Toracica
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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CASE REPORTS THORACIC PAPERS
The Journal of Cardiovascular Surgery 1998 April;39(2):245-7
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
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.