title: Paraesophageal hernia repair followed by cardiac tamponade caused by ProTacks.
abstract: We describe a case of cardiac tamponade caused by ProTacks Autosuture used for mesh fixation during a laparoscopic Nissen operation with giant paraesophageal hernia repair. Perforations of the posterior descendent artery and epicardial vein of the right ventricle were caused by ProTacks used for Parietex Composite Mesh fixation. Protruding ProTacks were secured from inside the pericardiac sac with a synthetic vascular patch during emergency sternotomy. Quick and multidisciplinary cooperation ended with emergency cardiothoracic procedure saving the patient's life and preventing further damage to the heart muscle and its vessels.
authors.affiliation: Department of Oncological Surgery, Academic Clinical Center, Medical University of Gdansk, Gdansk, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Makarewicz
authors.forename: Łukasz
authors.initials: Ł
authors.lastname: Jaworski
authors.forename: Maciej
authors.initials: M
authors.lastname: Bobowicz
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Roszak
authors.forename: Krzysztof
authors.initials: K
authors.lastname: Jaroszewicz
authors.forename: Jan
authors.initials: J
authors.lastname: Rogowski
authors.forename: Tomasz
authors.initials: T
authors.lastname: Jastrzębski
authors.forename: Janusz
authors.initials: J
authors.lastname: Jaśkiewicz
mesh_terms: D000368:Aged; D002305:Cardiac Tamponade / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006551:Hernia, Hiatal / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D059685:Herniorrhaphy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed