Caught in the Act: A Recurrent Tamponade After Coronary Artery Bypass Grafting With Culprit Lesion Identified on Computed Tomography Angiogram

Delayed cardiac tamponade after cardiac surgery is a rare complication with significant diagnostic challenges. The recurrence of cardiac tamponade physiology after initial intervention creates another degree of difficulty in the management of already medically complex patients. We present the case o...

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Veröffentlicht in:Cureus 2023, Vol.15 (11), p.e49278-e49278
Hauptverfasser: Gorton, Andrew J, Keshavamurthy, Suresh, Lowry, Conor, Sekela, Michael E
Format: Report
Sprache:eng
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Zusammenfassung:Delayed cardiac tamponade after cardiac surgery is a rare complication with significant diagnostic challenges. The recurrence of cardiac tamponade physiology after initial intervention creates another degree of difficulty in the management of already medically complex patients. We present the case of a 65-year-old male who underwent four-vessel coronary artery bypass grafting that was complicated by the delayed presentation of cardiac tamponade requiring mediastinal exploration. Following this he developed a recurrence of cardiac tamponade with bleeding from a vein graft identified on multiphase spiral computed tomography angiography.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.49278