title: Pseudo-pericardial tamponade after cardiac surgery.
abstract: Cardiac tamponade is a common cause of hypotension and low output after cardiac surgery. The authors present a case of false tamponade diagnosis on transesophageal echocardiography in a patient who underwent mitral valve replacement and coronary artery bypass grafting. The diagnosis was not confirmed at surgery, and the cause of the abnormal right atrial filling was a prominent Eustachian valve trapped in the suture for correction of an iatrogenic inferior vena cava laceration. Such a complication must be kept in mind when repairing inferior vena cava lacerations and should be more widely known.
authors.affiliation: Center of Thoracic Surgery, S. João Hospital, Oporto, Portugal. jalmeida@hsjoao.min-saude.pt
authors.forename: Jorge
authors.initials: J
authors.lastname: Almeida
authors.forename: Raquel
authors.initials: R
authors.lastname: Garcia
authors.forename: Vítor
authors.initials: V
authors.lastname: Monteiro
authors.forename: Paulo
authors.initials: P
authors.lastname: Pinho
mesh_terms: D006348:Cardiac Surgical Procedures / Q000009:adverse effects*; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging* / Q000209:etiology*; D003937:Diagnosis, Differential; D003951:Diagnostic Errors / Q000517:prevention & control*; D006801:Humans; D008297:Male; D008875:Middle Aged; D014463:Ultrasonography; D014682:Vena Cava, Inferior / Q000000981:diagnostic imaging* / Q000293:injuries*