ARYA Atherosclerosis Journal

Rare post-operative complications of large mediastinal tumor resection

Document Type : Case Report

Authors

Mohsen Mirmohammadsadeghi 1
Amir Mirmohammadsadeghi 2

1 Associate Professor, Department of Cardiovascular Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan,

2 Assistant Professor, Department of Cardiovascular Surgery, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract
Background: There are some reports in the literature, which suggest that cardiac tamponade drainage may transiently affect systolic function and also cause acute respiratory distress syndrome (ARDS). We did not find any reports of acute ventricular failure and ARDS secondary to mediastinal tumor resection without tamponade. Case Report: Here we report a 48-year-old woman presenting with massive pericardial effusion without tamponade in whom tumor was resected through median sternotomy using cardiopulmonary bypass. ARDS and acute heart failure were two rare complications that happened at the end of the operation secondary to a sudden decompression of the heart from tumor pressure. Conclusion: ARDS and acute heart failure are two rare complications, which can happen after large mediastinal tumor resection.

Keywords

Heart Failure
Acute Respiratory Distress Syndrome
Mediastinal Neoplasms
Pericardium
ARYA Atherosclerosis Journal
Volume 11, Issue 2 - Serial Number 2
March and April 2015
Pages 160-162

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