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J Heart Lung Transplant. 2007 Oct;26(10):1069-71.

Early cardiac tamponade due to tension pneumopericardium after bilateral lung transplantation.

Author information

1
Réanimation Chirurgicale, CHU Bichat-Claude Bernard, Université Paris VII, Paris, France. sigismond.lasocki@bch.aphp.fr

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.

PMID:
17919630
DOI:
10.1016/j.healun.2007.07.014
[Indexed for MEDLINE]

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