Calcified amorphous tumour of the heart: presentation of a rare case operated using minimal access cardiac surgery

The postpericardiotomy syndrome occurs in up to one-third of children undergoing cardiac surgery. Its treatment includes anti-inflammatory agents, diuresis, and drainage of effusions. Administration of steroids can have a dramatic effect, but is limited by adverse effects. Usually the syndrome lasts weeks only, and persistence beyond six months is exceptional. We describe a rare case of chronic postpericardiotomy syndrome, with recurrent pericardial effusions and steroid dependency, that was treated successfully with a low weekly dose of methotrexate.

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Minimally Invasive and Minimal Access Cardiac Surgery

Transoesophageal Echocardiography in Anaesthesia and Intensive Care Medicine ◽

10.1002/9780470760239.ch14 ◽

2008 ◽

pp. 265-280

Author(s):

Fiona Clements

Keyword(s):

Cardiac Surgery ◽

Minimally Invasive ◽

Minimal Access

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A Rare Case of Mediastinitis Following a Routine Dental Procedure in a Patient with History of Cardiac Surgery

North American Journal of Medicine and Science ◽

10.7156/v4i4p245 ◽

2011 ◽

Vol 4 (4) ◽

pp. 245 ◽

Cited By ~ 1

Author(s):

Charles DeMesa ◽

◽

Xixi Amley ◽

Pang Lam ◽

Maxine Seales ◽

...

Keyword(s):

Cardiac Surgery ◽

Rare Case ◽

Dental Procedure ◽

History Of

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Recent advances in minimal-access cardiac surgery using robotic-enhanced surgical systems

Expert Review of Cardiovascular Therapy ◽

10.1586/14779072.2.4.589 ◽

2004 ◽

Vol 2 (4) ◽

pp. 589-600 ◽

Cited By ~ 7

Author(s):

Roberto Casula ◽

Thanos Athanasiou ◽

Rodney Foale

Keyword(s):

Cardiac Surgery ◽

Minimal Access ◽

Recent Advances

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Successful treatment of phrenic nerve injury with diaphragmatic plication 5 years after onset: A case report

SAGE Open Medical Case Reports ◽

10.1177/2050313x211070514 ◽

2022 ◽

Vol 10 ◽

pp. 2050313X2110705

Author(s):

Chihiro Ohashi ◽

Takahiro Uchida ◽

Yugo Tanaka ◽

Yoshimasa Maniwa

Keyword(s):

Cardiac Surgery ◽

Case Report ◽

Nerve Injury ◽

Conservative Management ◽

Phrenic Nerve ◽

Respiratory Symptoms ◽

Rare Case ◽

Diaphragmatic Paralysis ◽

Phrenic Nerve Injury ◽

Diaphragmatic Plication

Diaphragmatic paralysis due to phrenic nerve injury is an occasional complication of cardiothoracic surgery. Although diaphragmatic plication is widely used to treat patients with severe irreversible symptoms, its surgical indication and timing remain controversial. Here, we present a rare case of diaphragmatic paralysis in a 65-year-old woman who underwent cardiac surgery and whose respiratory symptoms worsened despite >5 years of conservative management. Consequently, she underwent diaphragmatic plication using an endostapler to resect the redundant diaphragm, followed by over-suturing of all staple lines. She was discharged without any complications and her symptoms and chest radiography and spirometry results improved postoperatively.

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