title: [Cardiac tamponade after laparoscopic operation for a traumatic].
abstract: Cardiac tamponade is a rare complication of diaphragmatic hernia repair. We report a case of a 79-year-old female, who underwent a laparoscopic procedure with mesh implantation. Tackers were used to secure the mesh to the diaphragm. Nine hours after surgery the patient died from circulatory collapse. Autopsy showed perforation of the pericardium and the right coronary artery by a tacker. A review of the literature reveals nine earlier reported cases. In three of these cases the complication resulted in death. Rapid diagnosis and intervention can decrease mortality. To avoid further incidents it is necessary to consider alternatives to tacks.
authors.affiliation: Knudrisgade 29, 1., 8000 Aarhus C. beckjesper@hotmail.com.
authors.forename: Jesper Beck
authors.initials: JB
authors.lastname: Jørgensen
authors.forename: Poul-Erik
authors.initials: PE
authors.lastname: Lundbech
authors.forename: Peter
authors.initials: P
authors.lastname: Rask
authors.forename: Lone
authors.initials: L
authors.lastname: Jensen
mesh_terms: D000368:Aged; D002305:Cardiac Tamponade / Q000209:etiology*; D017809:Fatal Outcome; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications*; D006549:Hernia, Diaphragmatic, Traumatic / Q000000981:diagnostic imaging / Q000601:surgery*; D059685:Herniorrhaphy / Q000009:adverse effects*; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D011183:Postoperative Complications / Q000209:etiology; D053831:Surgical Fixation Devices / Q000009:adverse effects*; D014057:Tomography, X-Ray Computed