title: Lymphatic cardiac tamponade after open-heart surgery with liver dysfunction.
abstract: A 46-year-old female with alcoholic liver dysfunction was admitted for mitral regurgitation due to infective endocarditis. She underwent mitral valvuloplasty and resection of the vegetation without complication. After removal of the chest tube, late cardiac tamponade occurred and subsequently recurred. On the 64th day after mitral valvuloplasty, we performed redo median sternotomy with small laparotomy trying to reveal and repair injured lymphatic vessels in the pericardial space and successfully cured the leakage of lymph. The post reoperative course was uneventful and the patient was discharged 20 days after reoperation. We review a rare complication of recurrent cardiac tamponade of lymphatic leakage associated with liver dysfunction.
authors.affiliation: Department of Cardiovascular Surgery, Kobe Rosai Hospital, Kobe, Japan.
authors.forename: Toshihiro
authors.initials: T
authors.lastname: Kawahira
authors.forename: Noboru
authors.initials: N
authors.lastname: Wakita
authors.forename: Hiroya
authors.initials: H
authors.lastname: Minami
authors.forename: Masahiro
authors.initials: M
authors.lastname: Sakata
authors.forename: Ikuro
authors.initials: I
authors.lastname: Kitano
authors.forename: Tsutomu
authors.initials: T
authors.lastname: Shida
mesh_terms: D021721:Balloon Occlusion; D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology*; D002315:Cardiopulmonary Bypass; D002404:Catheterization; D005260:Female; D006801:Humans; D008108:Liver Diseases, Alcoholic / Q000150:complications* / Q000175:diagnosis / Q000628:therapy*; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D010490:Pericardial Effusion / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology; D012008:Recurrence; D014057:Tomography, X-Ray Computed