Why the study?
Complications after thoracoscopic lobectomy are increasingly rare, and postoperative cardiac tamponade is particularly uncommon.
Cardiac tamponade is a rare but life-threatening complication of thoracoscopic lobectomy that may require emergency pericardiotomy if pericardiocentesis fails to provide lasting relief.
Clinicians should anticipate possible recurrence after pericardiocentesis in post-thoracoscopic lobectomy patients; case report leaves open true incidence and prevention strategies.
Thoracoscopic lobectomy is a common surgical procedure for the treatment of lung cancer. With the continuous development of surgical techniques and medical devices, complications after thoracoscopic lobectomy are less and less, and cardiac tamponade is even rarer. This case is a 62-year-old woman who underwent thoracoscopic left upper lobectomy for a left upper lobe nodule. The patient developed acute cardiac tamponade on postoperative day 2, and symptoms resolved after pericardiocentesis. However, 20 h later, the patient underwent emergency surgery for re-developed acute cardiac tamponade, which was found to be a coronary tear. A review of the literature suggested that cardiac tamponade is more common in left lung surgery than right lung surgery. Pericardiocentesis can resolve initial acute cardiac tamponade, but pericardiotomy may be urgently needed after recurrence.
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Chen et al. (2023) studied this question.
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