García Fuster R, Llorens R, Melero J M, Barba J, di Stefano S, Legarra J J, Alegría E
Servicio de Cirugía Cardiovascular, Clínica Universitaria, Facultad de Medicina, Universidad de Navarra.
Rev Esp Cardiol. 1997 Jan;50(1):58-61. doi: 10.1016/s0300-8932(97)73177-4.
Cardiac tamponade is a life-threatening complication after cardiac surgery which may develop in the early or late postoperative period. The latest have been defined arbitrarily as the ones occurring after the 7th postoperative day. They are less common than the early ones and most of the cases have been reported up to six months after the operation. They usually determine diagnostic difficulties that can negatively influence the prognosis. Because of its atypical late appearance, a case of a 65 year old man is presented who developed a postpericardiotomy syndrome and subsequently a pericardial clot nearly two years after aortocoronary bypass grafting.
心脏压塞是心脏手术后的一种危及生命的并发症，可发生在术后早期或晚期。晚期心脏压塞被任意定义为术后第7天之后发生的情况。它们比早期心脏压塞少见，大多数病例报告发生在术后6个月内。它们通常会造成诊断困难，对预后产生负面影响。由于其非典型的晚期表现，现介绍一例65岁男性患者，他在主动脉冠状动脉旁路移植术后近两年出现了心包切开术后综合征，随后形成了心包血块。
