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Cardiac tamponade as a presentation of COVID-19 after cardiac surgery

Kirun Gopal1, Hisham Ahamed2, Rajesh Jose1

  • 1Department of Cardiovascular and Thoracic Surgery, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham (Amrita University), Kochi, Kerala India.

Indian Journal of Thoracic and Cardiovascular Surgery
|November 29, 2021
PubMed

Insights

Two patients developed cardiac tamponade after COVID-19 infection post-cardiac surgery. Early suspicion and management are crucial for treating this rare but serious manifestation.

Area of Science:

  • Cardiology
  • Infectious Diseases
  • Cardiac Surgery

Background:

  • Postoperative complications following cardiac surgery require vigilant monitoring.
  • Coronavirus disease 2019 (COVID-19) is known for diverse systemic effects.

Observation:

  • Two patients developed pericardial effusion and cardiac tamponade after elective cardiac surgery.
  • One patient presented solely with cardiac tamponade, without other typical COVID-19 symptoms.

Findings:

  • COVID-19 can manifest with rare cardiac complications, including pericardial effusion and tamponade.
  • The risk of these cardiac manifestations may be heightened in the post-cardiac surgery context.

Implications:

  • A high index of suspicion for COVID-19 is necessary in post-cardiac surgery patients presenting with cardiac effusion.
  • Prompt diagnosis and management are critical for favorable outcomes in these cases.

Keywords:
COVID-19Cardiac surgeryPericardial effusionTamponade

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