Late Cardiac Tamponade in Children. A Lethal Complication

Ann Surg. 1984 Feb;199(2):173-5. doi: 10.1097/00000658-198402000-00007.

Abstract

Late cardiac tamponade is an infrequent complication of pediatric cardiac surgery. It is usually accompanied by the postcardiotomy syndrome and can occur after open or closed cardiac operations. It may occur despite treatment of the postcardiotomy syndrome. Five children were treated for late cardiac tamponade. All were treated initially with anti-inflammatory drugs; four also required pericardiocentesis, and two of these required subsequent creation of a pericardial window. One patient died due to delay in performing operative decompression. Late cardiac tamponade can be a lethal complication in children.

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • Cardiac Surgical Procedures / adverse effects*
  • Cardiac Tamponade / etiology*
  • Cardiac Tamponade / mortality
  • Cardiac Tamponade / therapy
  • Child
  • Child, Preschool
  • Drainage
  • Heart Defects, Congenital / surgery
  • Humans
  • Infant
  • Infant, Newborn
  • Pericardial Effusion / surgery
  • Postoperative Complications
  • Time Factors

Substances

  • Anti-Inflammatory Agents