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Updated: Aug 19, 2026

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
Published on: April 17, 2020
Intraoperative cardiac tamponade complicating esophagogastrectomy
M A Levitt1, J D Cunningham, S I Curtiss
1Department of Surgery, The Mount Sinai Hospital, New York, New York 10029, USA.
Background:
Thoracoabdominal esophagogastrectomy is associated with a number of potential life-threatening complications.
Patients:
We describe a patient with intraoperative hypotension in which a number of therapeutic maneuvers eventually led to the diagnosis of cardiac tamponade.
Results:
Once the diagnosis of tamponade was made, it was successfully treated by the release of intrapericardial blood.
Conclusions:
Although rare, tamponade should be considered as a cause of hemodynamic instability whenever intraoperative manipulation of the heart has occurred.
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