Key result
Post-operative atrial tamponade from loculated thrombi is linked to severe acute ischemic hepatic injury.
Why the study?
Late cardiac tamponade after cardiac surgery can present with atypical symptoms including acute ischemic hepatic injury due to atrial compression.
Late cardiac tamponade after cardiac surgery can present atypically with nausea and severe acute ischemic hepatic injury due to atrial compression.
Answers are grounded in this paper and cite their sources.
Consider atypical tamponade in post-cardiac surgery patients with nausea and transaminitis; extends recognition of ischemic hepatitis from atrial compression but leaves broader incidence unknown.
A patient developed late cardiac tamponade after aortic valve replacement and coronary artery bypass grafting. Nausea and dramatic elevations of serum aminotransferases were the initial clinical manifestations of cardiac tamponade. Severe acute ischemic hepatic injury secondary to isolated compression of both atrial cavities by two loculated thrombi was diagnosed.
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Delgado et al. (1999) studied this question. Atrial tamponade from loculated thrombi after cardiac surgery caused severe acute ischemic hepatic injury presenting initially as nausea and elevated serum aminotransferases.
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