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Fatal cardiac tamponade after emergency tension-free repair of a large paraesophageal hernia.
Surg Endosc. 2000 Jun; 14(6):593.SE

Abstract

Paraesophageal hernia is an unusual disorder of the esophageal hiatus that may be associated with life-threatening mechanical problems. We report a case of a large paraesophageal hernia that presented with acute thoracic herniation and incarceration of the stomach. The patient underwent laparoscopic operation, including reduction of an intrathoracic stomach, hernial sac removal, and tension-free repair of the hiatus with polytetrafluoroethylene (PTFE) mesh. The mesh was fixed with a straight hernia stapler. Postoperatively the patient developed a fatal cardiac tamponade secondary to a coronary vein laceration due to fixation of the mesh with the stapler. Different operative techniques and possibilities for prevention of the complication are discussed.

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Authors+Show Affiliations

Kemppainen E
Second Department of Surgery, Helsinki University Central Hospital, Haartmaninkatu 4, FI-00290 Helsinki, Finland. esko.kemppainen@huch.fi
Kiviluoto T
No affiliation info available

MeSH

AgedAged, 80 and overCardiac TamponadeCoronary VesselsFatal OutcomeFemaleHernia, HiatalHumansIntraoperative ComplicationsLaparoscopySurgical StaplersVeins

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

11265062

Citation

Kemppainen, E, and T Kiviluoto. "Fatal Cardiac Tamponade After Emergency Tension-free Repair of a Large Paraesophageal Hernia." Surgical Endoscopy, vol. 14, no. 6, 2000, p. 593.
Kemppainen E, Kiviluoto T. Fatal cardiac tamponade after emergency tension-free repair of a large paraesophageal hernia. Surg Endosc. 2000;14(6):593.
Kemppainen, E., & Kiviluoto, T. (2000). Fatal cardiac tamponade after emergency tension-free repair of a large paraesophageal hernia. Surgical Endoscopy, 14(6), 593.
Kemppainen E, Kiviluoto T. Fatal Cardiac Tamponade After Emergency Tension-free Repair of a Large Paraesophageal Hernia. Surg Endosc. 2000;14(6):593. PubMed PMID: 11265062.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Fatal cardiac tamponade after emergency tension-free repair of a large paraesophageal hernia. AU - Kemppainen,E, AU - Kiviluoto,T, Y1 - 2000/05/08/ PY - 1999/07/02/received PY - 1999/07/12/accepted PY - 2001/3/27/pubmed PY - 2002/1/22/medline PY - 2001/3/27/entrez SP - 593 EP - 593 JF - Surgical endoscopy JO - Surg Endosc VL - 14 IS - 6 N2 - Paraesophageal hernia is an unusual disorder of the esophageal hiatus that may be associated with life-threatening mechanical problems. We report a case of a large paraesophageal hernia that presented with acute thoracic herniation and incarceration of the stomach. The patient underwent laparoscopic operation, including reduction of an intrathoracic stomach, hernial sac removal, and tension-free repair of the hiatus with polytetrafluoroethylene (PTFE) mesh. The mesh was fixed with a straight hernia stapler. Postoperatively the patient developed a fatal cardiac tamponade secondary to a coronary vein laceration due to fixation of the mesh with the stapler. Different operative techniques and possibilities for prevention of the complication are discussed. SN - 0930-2794 UR - https://www.unboundmedicine.com/medline/citation/11265062/Fatal_cardiac_tamponade_after_emergency_tension_free_repair_of_a_large_paraesophageal_hernia_ L2 - https://doi.org/10.1007/s004640000138 DB - PRIME DP - Unbound Medicine ER -