Delayed Pericardial Tamponade Following Transthoracic Hiatal Hernia Repair

Puchakayala, Madhusudan Rao; Abbey, Kenneth R.; Haft, Jonathan W.

doi:10.1053/j.jvca.2005.01.038

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…Cardiac injury is a rare complication of Nissen fundoplication but has been previously described in the literature. [1][2][3][4][5][6][7][8][9][10] Generally, it is associated with complex cases such as redo or emergent operations. [1][2][3][4][5][6] In most cases, the correct diagnosis is not immediately made and frequently is mistaken for an STEMI.…”

Section: Anzjsurgcommentioning

confidence: 99%

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Cardiac tamponade: a rare complication of Nissen fundoplication

Borrie

2016

ANZ Journal of Surgery

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Section: Anzjsurgcommentioning

confidence: 99%

“…2,8 In all reported cases, pericardiocentesis was insufficient and operation was needed for the patient to survive. [1][2][3][4][5][6][7][8][9][10] This illustrates the point that an effusion of significant size and of blood density is likely to involve vascular injury and require operation, despite of echocardiographic findings.…”

Section: Anzjsurgcommentioning

confidence: 99%

Cardiac tamponade: a rare complication of Nissen fundoplication

Borrie

2016

ANZ Journal of Surgery

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“…Repair of hiatal [1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15], ventral [3, 9, 16, 17] and diaphragmatic hernias [18, 19, 20] with mesh-augmentation resulted in ICT and deaths. ICTs during peri-hiatal surgery unrelated to graft fixation were also reported [13, 21, 22, 23, 24, 25, 26].…”

Section: Introductionmentioning

confidence: 99%

Iatrogenic cardiac tamponade as a mortal complication of peri-hiatal surgery. Analysis of 30 published cases

Çalıkoğlu¹,

Özgen²,

Toydemir³

et al. 2019

Heliyon

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Iatrogenic cardiac tamponade (ICT) is a dreadful complication of peri-hiatal surgery and vast majority occur during a hernia repair. Strikingly, against all warnings, the incidents and related deaths seem to be increasing. The aim of this review is to provide insight on how to prevent and challenge ICT. PubMed search identified 30 distinct ICTs with 10 deaths (33.3%) due to peri-hiatal procedures. Twenty-nine operations were mechanical repairs and laparoscopic anti-reflux surgery was the primary cause (n:18). Graft fixation (n:23) and helical tacks (n:13) were the main offenders. Initial symptom was hypotension affecting 92%. Seven ICTs were only identified at autopsy. All treated patients except one underwent a drainage. Almost all ICTs were caused by injury to the diaphragmatic dome, anterior to hiatus. In conclusion, peri-hiatal surgery-related ICT is extremely fatal. ICT mainly occurs during the repair of a hernia, a benign condition and therefore must be prevented. Graft fixation, around the ante-hiatal diaphragmatic dome must be abandoned. If mesh-augmentation is absolutely necessary, meticulous stitching must be preferred instead of fixators. Persistent hypotension during or following a peri-hiatal operation is an alarming sign of ICT. Increased awareness is mandatory for prevention and survival.

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Cardiac tamponade as a complication of laparoscopic hiatal hernia repair: Case report and literature review

Paz

Vázquez

Bessler

2011

Cathet Cardio Intervent

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We report the case of a 61-year old female with history of gastroesophageal reflux disease and hiatal hernia who developed hemopericardium and tamponade one day after laparoscopic hiatal hernia repair and Toupe fundoplication. The patient underwent emergent pericardiocentesis and subsequent surgical pericardial window. During surgery, a tack that had been used to secure mesh to the inferior aspect of the diaphragm was found to have penetrated the pericardium near the right ventricle. The offending foreign body was trimmed and reduced into the abdomen, and the patient recovered without further complication. A review of the literature reveals that, although rare, tamponade following diaphragmatic hernia repair and fundoplication surgery often results in fatal outcome. Tamponade must be considered in any patient who develops signs of hemodynamic instability following diaphragmatic hernia repair or fundoplication surgery, as rapid diagnosis and definitive intervention can decrease fatality from such an injury.

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Delayed Pericardial Tamponade Following Transthoracic Hiatal Hernia Repair

Cited by 6 publications

References 5 publications

Cardiac tamponade: a rare complication of Nissen fundoplication

Cardiac tamponade: a rare complication of Nissen fundoplication

Iatrogenic cardiac tamponade as a mortal complication of peri-hiatal surgery. Analysis of 30 published cases

Cardiac tamponade as a complication of laparoscopic hiatal hernia repair: Case report and literature review

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