A case of cardiac tamponade following esophageal resection.

Journal: Journal Of Anesthesia
Published:
Abstract

We report a rare case of cardiac tamponade after esophageal resection for esophageal cancer. A 69-year-old man underwent subtotal esophagectomy and reconstruction of the gastric tube with cervical anastomosis via the poststernal route and three-field lymphadectomy via a median sternotomy. On postoperative day 4, the patient developed dyspnea, chest oppression, and hemodynamic instability due to cardiac tamponade. Emergency percutaneous catheter drainage was performed to manage the cardiac tamponade. Acute pericarditis due to the original surgical procedure was suspected to be the cause of the tamponade. Although rare, cardiac tamponade should be considered as a cause of hemodynamic instability after esophageal resection.

Authors
Yoshiaki Mizuguchi, Shinhiro Takeda, Masao Miyashita, Hiroyuki Ikezaki, Yushi Nakajima, Shinji Akada, Hiroshi Makino, Ryohei Futami, Masao Arai, Koji Sasajima, Takashi Tajiri, Keiji Tanaka