Cardiac tamponade resulting from massive chylopericardium after an aorta-coronary bypass operation

Cardiac Tamponade after Minimally Invasive Coronary Artery Bypass Graft

A 61-year-old man presented to the emergency department (ED) with gradual onset shortness of breath exacerbated by lying flat three weeks after undergoing minimally invasive three-vessel coronary artery bypass grafting (CABG). Due to a history of lower extremity deep venous thrombosis, he was taking warfarin, which was held pre-operatively and restarted on post-operative day three along with cl...

Recurrent Primary Chylopericardium: An Unusual Cause of Cardiac Tamponade

Chylopericardium is a rare clinical entity in which chylous fluid accumulates in the pericardial cavity. We report a case of recurrent massive idiopathic chylopericardium with tamponade in a 3-year-old infant with no history of trauma, thoracic surgery, malignancy, infection or tuberculosis. Echocardiography showed a large amount of pericardial effusions with evidence of tamponade. And 450 mL o...

Massive hemoptysis after coronary artery bypass grafting.

Re-exploration for bleeding or tamponade after cardiac operation.

The aim of this study was to determine the outcome of patients who had a chest resternotomy and to identify risk factors for higher in-hospital mortality after re-exploration for bleeding and/or tamponade after cardiac operations. We present our experience of an acceptably low re-exploration rate after cardiac surgery, and the outcomes of those re-explored. This was a retrospective analysis of ...

Hiatal hernia causing extrapericardial tamponade after coronary bypass surgery.

Cardiac tamponade is defined as compression of the heart due to accumulation of fluid in the pericardial sac, leading to raised pericardial pressures with haemodynamic compromise. We describe the case of a 76-year old female patient who underwent a routine off-pump coronary artery bypass graft operation and within 48 h developed classic signs of cardiac tamponade. The perioperative echocardiogr...