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Cardiac tamponade: an unusual, lifethreatening complication after transhiatal resection of the esophagus

^a Department of Cardio-Thoracic Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands
^b Department of General Surgery, Catharina Hospital, Michelangelolaan 2, 5623 EJ Eindhoven, The Netherlands

*Corresponding author. Tel.: +31 40 2398680; fax: +31 40 2440268.

E-mail address: suzanne.kats{at}catharina-ziekenhuis.nl (S. Kats).

Transhiatal resection for carcinoma of the distal esophagus is associated with relative high morbidity and mortality. We present a rare case of cardiac tamponade after transhiatal esophagectomy for which emergency sternotomy was performed. Probably the retraction of the heart during exploration of the mediastinum caused a laceration of an epicardial vein. Although very rare, cardiac tamponade should be considered when hemodynamic instability during or after transhiatal esophagectomy occurs.

Key Words: Transhiatal esophagectomy; Complication; Cardiac tamponade

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				D. Stewart, T. Chico, and R. Ackroyd Chylopericardial tamponade complicating oesophago-gastrectomy Interactive CardioVascular and Thoracic Surgery, January 1, 2009; 8(1): 176 - 177. [Abstract] [Full Text] [PDF]