Titanium plate to fix crossed rib can cause cardiac tamponade: A cautionary note

A 78-year-old woman diagnosed with an infected descending aortic aneurysm underwent graft replacement through a left rib-cross thoracotomy. She developed shock suddenly on the postoperative day 3 owing to cardiac tamponade. We performed emergent surgery and identified a small myocardial laceration i...

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Bibliographic Details
Published in:General thoracic and cardiovascular surgery 2021-02, Vol.69 (2), p.353-355
Main Authors: Ryomoto, Masaaki, Sekiya, Naosumi, Uemura, Hisashi, Ueda, Daisuke, Sato, Ayaka, Yamashita, Keigo, Tanaka, Hiroe, Yamamura, Mitsuhiro, Sakaguchi, Taichi
Format: Article
Language:English
Subjects:
Aged
Aneurysms
Cardiac Surgery
Cardiac Tamponade - diagnostic imaging
Cardiac Tamponade - etiology
Cardiac Tamponade - surgery
Cardiology
Case Report
Coronary vessels
Female
Humans
Medicine
Medicine & Public Health
Ostomy
Pericardium
Rib cage
Ribs
Surgery
Surgical Oncology
Thoracic Surgery
Thoracotomy
Titanium
Tomography
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Summary:A 78-year-old woman diagnosed with an infected descending aortic aneurysm underwent graft replacement through a left rib-cross thoracotomy. She developed shock suddenly on the postoperative day 3 owing to cardiac tamponade. We performed emergent surgery and identified a small myocardial laceration in the left ventricular obtuse marginal area and a small perforation on the pericardium. One of the claws used to fix the titanium plate in the cross-rib repair caused this complication. This is a cautionary note regarding this type of titanium plate, which is used in many procedures.
ISSN:1863-6705
1863-6713
DOI:10.1007/s11748-020-01449-5