Early cardiac tamponade due to tension pneumopericardium after bilateral lung transplantation.
We report the case of a 42-year-old woman who developed severe hemodynamic instability with marked arterial pulsed pressure variation in the early course of bilateral lung transplantation. The diagnosis of tension pneumopericardium was made on Day 2 post-operatively based on chest X-ray and echocardiography. Transoesophageal echocardiography revealed both a cardiac tamponade and a right-to-left shunt via a patent foramen ovale. The treatment and mechanisms of these two rare complications are discussed.
Lasocki
Sigismond
S
Réanimation Chirurgicale, CHU Bichat-Claude Bernard, Université Paris VII, Paris, France. sigismond.lasocki@bch.aphp.fr
Castier
Yves
Y
Geffroy
Arnaud
A
Mal
Hervé
H
Brugière
Olivier
O
Lesèche
Guy
G
Montravers
Philippe
P
D000328:Adult; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology*; D017548:Echocardiography, Transesophageal; D005260:Female; D006344:Heart Septal Defects, Atrial / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D016040:Lung Transplantation / Q000009:adverse effects*; D011026:Pneumopericardium / Q000150:complications* / Q000000981:diagnostic imaging / Q000209:etiology*; D013902:Radiography, Thoracic; D014057:Tomography, X-Ray Computed