title: Cardiac tamponade following minimally invasive direct coronary artery bypass.
abstract: We report a case of cardiac tamponade resulting in a death following minimally invasive direct coronary artery bypass. Despite absence of clinical symptoms at the time of hospital discharge, cardiac tamponade physiology may have been evident on close evaluation of Doppler studies of the left internal mammary artery. Performance of a predischarge transthoracic echocardiogram may have been confirmatory and lifesaving.
authors.affiliation: St. Charles Medical Center and Bend Memorial Clinic, OR 97701, USA.
authors.forename: R R
authors.initials: RR
authors.lastname: Lazzara
authors.forename: J T
authors.initials: JT
authors.lastname: Hanlon
authors.forename: B A
authors.initials: BA
authors.lastname: McLellan
authors.forename: D T
authors.initials: DT
authors.lastname: Combs
authors.forename: E K
authors.initials: EK
authors.lastname: Young
authors.forename: M P
authors.initials: MP
authors.lastname: Sheehan
mesh_terms: D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D015150:Echocardiography, Doppler; D017809:Fatal Outcome; D006801:Humans; D007387:Internal Mammary-Coronary Artery Anastomosis / Q000009:adverse effects*; D008297:Male; D008323:Mammary Arteries / Q000000981:diagnostic imaging; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects; D010351:Patient Discharge; D010490:Pericardial Effusion / Q000209:etiology; D013908:Thoracotomy; D014654:Vascular Patency