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Cardiac tamponade as a complication of laparoscopic hiatal hernia repair: case report and literature review.
Catheter Cardiovasc Interv. 2011 Nov 01; 78(5):819-21.CC

Abstract

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.

Authors+Show Affiliations

Department of Medicine, Columbia University Medical Center, New York, USA. edo.paz@gmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

21990104

Citation

Paz, Yehuda Edo, et al. "Cardiac Tamponade as a Complication of Laparoscopic Hiatal Hernia Repair: Case Report and Literature Review." Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions, vol. 78, no. 5, 2011, pp. 819-21.
Paz YE, Vazquez J, Bessler M. Cardiac tamponade as a complication of laparoscopic hiatal hernia repair: case report and literature review. Catheter Cardiovasc Interv. 2011;78(5):819-21.
Paz, Y. E., Vazquez, J., & Bessler, M. (2011). Cardiac tamponade as a complication of laparoscopic hiatal hernia repair: case report and literature review. Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions, 78(5), 819-21. https://doi.org/10.1002/ccd.23178
Paz YE, Vazquez J, Bessler M. Cardiac Tamponade as a Complication of Laparoscopic Hiatal Hernia Repair: Case Report and Literature Review. Catheter Cardiovasc Interv. 2011 Nov 1;78(5):819-21. PubMed PMID: 21990104.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cardiac tamponade as a complication of laparoscopic hiatal hernia repair: case report and literature review. AU - Paz,Yehuda Edo, AU - Vazquez,Jesus, AU - Bessler,Marc, Y1 - 2011/10/11/ PY - 2011/03/25/received PY - 2011/03/28/accepted PY - 2011/10/13/entrez PY - 2011/10/13/pubmed PY - 2012/2/18/medline SP - 819 EP - 21 JF - Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions JO - Catheter Cardiovasc Interv VL - 78 IS - 5 N2 - 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. SN - 1522-726X UR - https://www.unboundmedicine.com/medline/citation/21990104/Cardiac_tamponade_as_a_complication_of_laparoscopic_hiatal_hernia_repair:_case_report_and_literature_review_ L2 - https://doi.org/10.1002/ccd.23178 DB - PRIME DP - Unbound Medicine ER -