TY - JOUR T1 - Cardiac Tamponade Due to Bleeding as a Potential Lethal Complication After Surgery for Esophageal Cancer JF - Anticancer Research JO - Anticancer Res SP - 407 LP - 411 VL - 35 IS - 1 AU - SHUHEI ITO AU - MASARU MORITA AU - SHO NANBARA AU - YU NAKAJI AU - KOJI ANDO AU - YUKIHARU HIYOSHI AU - TATSURO OKAMOTO AU - HIROSHI SAEKI AU - EIJI OKI AU - HIROFUMI KAWANAKA AU - YOSHIHISA TANOUE AU - YOSHIHIKO MAEHARA Y1 - 2015/01/01 UR - http://ar.iiarjournals.org/content/35/1/407.abstract N2 - Background: Cardiac tamponade, due to bleeding in the pericardial space after esophagectomy for esophageal cancer, is an extremely rare complication and may be associated with sudden hemodynamic instability that can lead to death unless there is prompt diagnosis and appropriate treatment. Case Report: A 76-year-old man underwent sub-total esophagectomy via a cervico-right thoracoabdominal approach and reconstruction with a gastric tube through the retrosternal route. On postoperative day 4, the patient developed hypotension due to cardiac tamponade caused by bleeding into the pericardial space and he had a decreased level of consciousness. Pericardial resection and open drainage via a minimal left anterior thoracotomy was performed that resulted in hemodynamic improvement followed by an uneventful recovery. Conclusion: Cardiac tamponade due to postoperative bleeding, which is a rare but life-threatening complication, should be considered as a cause of hemodynamic instability in the early postoperative period after esophagectomy. ER -