Localized pericardial tamponade: Does it always need exploration.
Ann Card Anaesth
; 2014 Jan; 17(1): 67-69
Article
in En
| IMSEAR
| ID: sea-149698
ABSTRACT
A 48-year-old female patient underwent coronary artery bypass surgery. One‑hour after surgery, the patient developed hemodynamic instability. Transthoracic echocardiography (TTE) was inconclusive. Transesophageal echocardiography (TEE) was performed and it revealed localised collection around right atrium. In spite of the evidence of localized tamponade, wait and watch policy was employed rather than re‑exploring the patient emergently. The patient recovered uneventfully. If hemodynamics remain stable and there is no fall in hematocrit and no increase in effusion on TEE/TTE examination, then localized tamponade can be managed conservatively without reexploring the patient.
Key words
Full text:
1
Index:
IMSEAR
Main subject:
Postoperative Complications
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Coronary Artery Disease
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Female
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Humans
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Echocardiography
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Cardiac Tamponade
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Coronary Artery Bypass
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Echocardiography, Transesophageal
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Recovery of Function
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Watchful Waiting
Language:
En
Journal:
Ann Card Anaesth
Year:
2014
Type:
Article