CASE REPORTS  CARDIAC PAPERS 

The Journal of Cardiovascular Surgery 1999 June;40(3):377-9

Copyright © 2000 EDIZIONI MINERVA MEDICA

language: English

Pericardial tamponade and massive pleural effusion complicating orthotopic heart transplantation

Lee J. T., Durzinsky D. S., Wilson W. R., Walsh T. E.

From the Department of Surgery Division of Cardiothoracic Surgery * Department of Medicine Division of Cardiology Medical College of Ohio, Toledo, OH, USA

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Per­i­car­dial and ­pleural effu­sions ­occur com­monly ­after ­open car­diac pro­ce­dures. How­ever, the com­bi­na­tion of tam­po­nade and mas­sive ­pleural effu­sion is not ­often ­observed. We ­present a ­case of ­such a ­patient who ­received an ortho­topic ­heart trans­plant in a set­ting of pre­vi­ously diag­nosed ­systemic sar­coi­dosis. Treat­ment ulti­mately ­required the crea­tion of a per­i­car­dial ­window and chem­ical pleu­rod­esis.