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 Resjournal_title
Anticancer researchauthors
Ito S,Morita M,Nanbara S,Nakaji Y,Ando K,Hiyoshi Y,Okamoto T,Saeki H,Oki E,Kawanaka H,Tanoue Y,Maehara Ysubject
Has Abstractpub_date
2015-01-01 00:00:00pages
407-11issue
1eissn
0250-7005issn
1791-7530pii
35/1/407journal_volume
35pub_type
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