Document Detail

Outside the box: extra-pericardial tamponade due to acute recurrence of hiatus hernia.
MedLine Citation:
PMID:  20417806     Owner:  NLM     Status:  MEDLINE    
Cardiac tamponade is defined as a life-threatening, slow or rapid compression of the heart due to the pericardial accumulation of fluid, pus, thrombus or gas as a result of effusion, trauma, or myocardial rupture. We describe the case of a lady who developed classic signs of cardiac tamponade immediately after an open hiatus hernia repair. Computed tomographic imaging revealed extrapericardial hernia recurrence causing cardiac compression. We believe this is the first such reported case. We conclude that cardiac tamponade from acute recurrence of hiatus hernia must be considered in the unstable postoperative patient and that the definition of cardiac tamponade is expanded to include extrapericardial pathologies.
John P R Moore; John F Fraser
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  89     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-04-26     Completed Date:  2010-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1654-6     Citation Subset:  AIM; IM    
Copyright Information:
Copyright (c) 2010 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.
Critical Care Research Group, The Prince Charles Hospital, Brisbane, Australia.
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MeSH Terms
Acute Disease
Cardiac Tamponade / etiology*,  radiography,  surgery
Critical Illness
Follow-Up Studies
Hernia, Hiatal / diagnosis,  surgery*
Laparotomy / adverse effects*,  methods
Middle Aged
Postoperative Complications / diagnosis,  surgery
Postoperative Period
Rare Diseases
Reoperation / methods
Risk Assessment
Tomography, X-Ray Computed
Treatment Outcome

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