Cardiac tamponade due to bleeding as a potential lethal complication after surgery for esophageal cancer.

Abstract:

BACKGROUND:Cardiac tamponade, due to bleeding in the pericardial space after esophagectomy for esophageal cancer, is an extremely rare complication and may be associated with sudden hemodynamic instability that can lead to death unless there is prompt diagnosis and appropriate treatment. CASE REPORT:A 76-year-old man underwent sub-total esophagectomy via a cervico-right thoracoabdominal approach and reconstruction with a gastric tube through the retrosternal route. On postoperative day 4, the patient developed hypotension due to cardiac tamponade caused by bleeding into the pericardial space and he had a decreased level of consciousness. Pericardial resection and open drainage via a minimal left anterior thoracotomy was performed that resulted in hemodynamic improvement followed by an uneventful recovery. CONCLUSION:Cardiac tamponade due to postoperative bleeding, which is a rare but life-threatening complication, should be considered as a cause of hemodynamic instability in the early postoperative period after esophagectomy.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Ito S,Morita M,Nanbara S,Nakaji Y,Ando K,Hiyoshi Y,Okamoto T,Saeki H,Oki E,Kawanaka H,Tanoue Y,Maehara Y

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

407-11

issue

1

eissn

0250-7005

issn

1791-7530

pii

35/1/407

journal_volume

35

pub_type

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