{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:04:49Z","timestamp":1753877089004,"version":"3.41.2"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2023,5,13]],"date-time":"2023-05-13T00:00:00Z","timestamp":1683936000000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Cardiac tamponade is a known life-threatening complication of extracorporeal membrane oxygenation (ECMO), often secondary to hemopericardium from major vascular or cardiac perforation. We present the unique case of a neonate with a milky pericardial effusion causing tamponade after ECMO cannulation, managed successfully with pericardial window. Understanding ECMO physiology and its effect on the classic presentation of tamponade is critical and can prevent delays in diagnosis. While hemopericardium is most commonly seen in these cases, findings of a non-bloody, milky effusion should prompt further workup for infection, chylopericardium or total parenteral nutrition-associated pericardial effusion, as the appropriate management can mitigate immediate and potential long-term sequelae.<\/jats:p>","DOI":"10.1093\/jscr\/rjad233","type":"journal-article","created":{"date-parts":[[2023,5,13]],"date-time":"2023-05-13T07:30:02Z","timestamp":1683963002000},"source":"Crossref","is-referenced-by-count":1,"title":["Milky pericardial effusion causing tamponade in a neonate after extracorporeal membrane oxygenation cannulation"],"prefix":"10.1093","volume":"2023","author":[{"given":"Rosanne","family":"Thornhill","sequence":"first","affiliation":[{"name":"Department of Surgery, Loma Linda University Children's Hospital , Loma Linda, CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Randall","family":"Fortuna","sequence":"additional","affiliation":[{"name":"Division of Cardiothoracic Surgery, Loma Linda University Children's Hospital , Loma Linda, CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kayla","family":"Canteras","sequence":"additional","affiliation":[{"name":"Loma Linda University School of Medicine , Loma Linda, CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steven L","family":"Raymond","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Loma Linda University Children's Hospital , Loma Linda, CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faraz A","family":"Khan","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Loma Linda University Children's Hospital , Loma Linda, CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrei","family":"Radulescu","sequence":"additional","affiliation":[{"name":"Division of Pediatric Surgery, Loma Linda University Children's Hospital , Loma Linda, CA , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,5,10]]},"reference":[{"key":"2023051307294985100_ref1","first-page":"163","article-title":"Pericardial effusion and cardiac tamponade in neonates: sudden unexpected death associated with Total parenteral nutrition via central venous catheterization","volume":"43","author":"Warren","year":"2013","journal-title":"Ann Clin Lab Sci"},{"key":"2023051307294985100_ref2","first-page":"1465","article-title":"Cardiac tamponade in venoarterial extracorporeal membrane 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