title: Early cardiac tamponade due to tension pneumopericardium after bilateral lung transplantation.
abstract: 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.
authors.affiliation: Réanimation Chirurgicale, CHU Bichat-Claude Bernard, Université Paris VII, Paris, France. sigismond.lasocki@bch.aphp.fr
authors.forename: Sigismond
authors.initials: S
authors.lastname: Lasocki
authors.forename: Yves
authors.initials: Y
authors.lastname: Castier
authors.forename: Arnaud
authors.initials: A
authors.lastname: Geffroy
authors.forename: Hervé
authors.initials: H
authors.lastname: Mal
authors.forename: Olivier
authors.initials: O
authors.lastname: Brugière
authors.forename: Guy
authors.initials: G
authors.lastname: Lesèche
authors.forename: Philippe
authors.initials: P
authors.lastname: Montravers
mesh_terms: 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