Taponamiento cardíaco por retiro de electrodo epicárdico posterior a cirugía cardíaca

Eudomaro Colmenares; Karina De Sousa

Authors

Eudomaro Colmenares University of Zulia (L.U.Z). Maracaibo Venezuela.
Karina De Sousa University of Zulia (L.U.Z). Maracaibo Venezuela.

Keywords:

Transient electrode epicardic, Cardiac tamponade, Epicardial pacemakers.

Abstract

A case of cardiac tamponade by withdrawal epicardic electrode after a cardiac surgery was presented. A 55 years old male who underwent to a coronary artery by pass whithout extracorporeal circulation. The right now post –surgery elapse no incidents, extubado at 6 hours after arriving in the intensive care unit., Did not receive inotropics ,nor blood products .There was not alteration electrocardiographic. At 72 hours drainage tubes was removed, as well as the electrode transient epicardial ventricular stimulation. 2 hours the patient to become unstable hemodynamically. Throug transtoracic echocardiography it was shown a bruises that compresses the anterior aspect of the right ventricle. Requiered surgical exploration,sternal reopening, finding active bleeding corresponding to the area of the transient epicardiac electrode implant. The subsequent evolution was satisfactory and the patient was discharged after 3 days . The transient electrodes of cardiac stimulation (ETEC) like the epicardical ,they are widely used in cardiac surgery and they are not exempt from serious complications. Coronary surgery without extracorporeal circulatión could offer an opportunity to select properly those patiente who are going to need postoperative cardiac stimulation. Prospective randomized studies are necessary to be able to determine the patients who would really benefit from using transien epicardial pacemakers.

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Author Biographies

Eudomaro Colmenares, University of Zulia (L.U.Z). Maracaibo Venezuela.

University of Zulia (L.U.Z). Maracaibo Venezuela.

Karina De Sousa, University of Zulia (L.U.Z). Maracaibo Venezuela.

University of Zulia (L.U.Z). Maracaibo Venezuela.

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