Kariya N, Shindoh M, Nakatani K, Asada A, Nishi S, Kurita S
Department of Anesthesiology and Intensive Care Medicine, Osaka City University Medical School, Osaka, Japan.
Anaesth Intensive Care. 2001 Dec;29(6):634-7. doi: 10.1177/0310057X0102900615.
A complication of lower thoracic oesophagectomy for oesophageal carcinoma is reported. Extrapericardial tamponade was caused by a dilated retrosternal gastric roll. Echocardiography was useful for diagnosis. Diagnosis, investigation and management of this unusual but life-threatening complication are discussed. Transthoracic echocardiography is a useful and practical investigation for the evaluation of complications of oesophagectomy.