ArticleJournal of cardiothoracic surgery2013
Delayed cardiac tamponade after open heart surgery - is supplemental CT imaging reasonable?
Article in Journal of cardiothoracic surgery, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.
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10 citing papers in PubMed, 24 citations in OpenAlex.
- Article
- Late-Onset Type I Left Ventricular Rupture Following Double Valve Replacement: An Unexpected Cause of Cardiac Tamponade.Research in heart yield and translational medicine · 2025Article
- Retrosternal hematoma causing torsade de pointes after coronary artery bypass graft surgery; a case report.Frontiers in cardiovascular medicine · 2024Article
- Variations in current clinical practice of postoperative pericardial effusion: a questionnaire study.Open heart · 2023Article
- Post-op cocaine use resulting in catastrophic cardiovascular compromise.Journal of geriatric cardiology : JGC · 2023Article
- Diagnostic performance of echocardiography to predict cardiac tamponade after cardiac surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2022Article
- Article
- Delayed cardiac tamponade by loculated pericardial hematoma.Journal of echocardiography · 2018Article
- A patient with AKI after cardiac surgery.Clinical journal of the American Society of Nephrology : CJASN · 2014Article
- Editorial: Invisible hematoma causing shock after open-heart surgery: Localized cardiac tamponade.Journal of cardiology cases · 2014Article
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCardiac tamponade is a severe complication after open heart surgery. Diagnostic imaging is challenging in postoperative patients, especially if tamponade develops with subacute symptoms. Hypothesizing that delayed tamponade after open heart surgery is not sufficiently detected by transthoracic echocardiography, in this study CT scans were used as standard reference and were compared with transthoracic echocardiography imaging in patients with suspected cardiac tamponade.
methodTwenty-five patients after open heart surgery were enrolled in this analysis. In case of suspected cardiac tamponade patients underwent both echocardiography and CT imaging. Using CT as standard of reference sensitivity, specificity, positive and negative predictive values of ultrasound imaging in detecting pericardial effusion/hematoma were analyzed. Clinical appearance of tamponade, need for re-intervention as well as patient outcome were monitored.
resultsIn 12 cases (44%) tamponade necessitated surgical re-intervention. Most common symptoms were deterioration of hemodynamic status and dyspnea. Sensitivity, specificity, positive and negative predictive values of echocardiography were 75%, 64%, 75%, and 64% for detecting pericardial effusion, and 33%, 83%, 50, and 71% for pericardial hematoma, respectively. In-hospital mortality of the re-intervention group was 50%.
conclusionDiagnostic accuracy of transthoracic echocardiography is limited in patients after open heart surgery. Suplemental CT imaging provides rapid diagnostic reliability in patients with delayed cardiac tamponade.
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