{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:42:51Z","timestamp":1787020971111,"version":"build-2736575974"},"reference-count":17,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:00:00Z","timestamp":1709078400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["surg case rep"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Cardiac tamponade is a rare postoperative complication of esophageal cancer surgery, which leads to rapid hemodynamic changes and can be fatal if not treated properly and promptly. Herein, we report a case of cardiac tamponade after thoracoscopic subtotal esophagectomy and retrosternal gastric tube reconstitution for esophageal cancer that was successfully treated with surgical drainage.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Case presentation<\/jats:title>\n                    <jats:p>An 86-year-old man with lower thoracic esophageal cancer underwent thoracoscopic subtotal esophagectomy and retrosternal gastric tube reconstitution. No intra-operative complications were observed. On the first postoperative day, tachycardia and hypotension were observed, and pericardial effusion was identified on computed tomography images. The patient was diagnosed with obstructive shock secondary to cardiac tamponade. As percutaneous puncture drainage was not possible due to the presence of a retrosternal gastric tube, pericardiotomy with a small left anterior thoracotomy was performed, and a large amount of hematogenous fluid was drained, which instantly improved circulation. On the second postoperative day, the patient showed decreased pulse pressure, and computed tomography revealed a residual and enlarged hematoma around the right ventricle. The patient underwent surgical drainage and another pericardiotomy with a small right anterior thoracotomy was performed to drain the hematoma. At this time, multiple injuries to the fatty tissue, epicardium, and myocardium with active bleeding were observed on the anterior surface of the right ventricle near the root of the pulmonary artery. In this patient, the ascending aorta ran further to the right and dorsal sides than usual, causing the anterior wall of the right ventricle near the root of the pulmonary artery to be closer to the back of the sternum. This abnormality may have contributed to injury during the creation of the retrosternal pathway, leading to cardiac tamponade.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cardiac tamponade after esophagectomy can occur because of manipulation during creation of the retrosternal route, with an anomaly in the aortic position being present in this case. Gentle manipulation and selection of the reconstruction route according to the patient\u2019s condition are necessary in cases with such anatomical abnormalities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s40792-024-01850-9","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:01:59Z","timestamp":1709078519000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Cardiac tamponade complicating esophagectomy and retrosternal gastric tube reconstitution in a patient with an abnormal ascending aorta position: a case report"],"prefix":"10.1186","volume":"10","author":[{"given":"Shu","family":"Aoyama","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8123-687X","authenticated-orcid":false,"given":"Yasuhiro","family":"Miyazaki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masaaki","family":"Motoori","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masashi","family":"Hirota","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takefumi","family":"Itami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sayaka","family":"Matsumoto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masataka","family":"Hirano","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michihiro","family":"Aomatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takasumi","family":"Goto","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mutsunori","family":"Kitahara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Ozato","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yujiro","family":"Nishizawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisateru","family":"Komatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Inoue","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshinori","family":"Kagawa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akira","family":"Tomokuni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuhiro","family":"Iwase","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hiroyuki","family":"Nishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazumasa","family":"Fujitani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,2,28]]},"reference":[{"issue":"23","key":"1850_CR1","doi-asserted-by":"publisher","first-page":"2677","DOI":"10.1200\/JCO.20.00866","volume":"38","author":"MA Shah","year":"2020","unstructured":"Shah MA, Kennedy EB, Catenacci DV, Deighton DC, Goodman KA, Malhotra NK, et al. Treatment of locally advanced esophageal carcinoma: ASCO guideline. J Clin Oncol. 2020;38(23):2677\u201394.","journal-title":"J Clin Oncol"},{"issue":"6","key":"1850_CR2","doi-asserted-by":"publisher","first-page":"1152","DOI":"10.1097\/SLA.0000000000001828","volume":"265","author":"K Kataoka","year":"2017","unstructured":"Kataoka K, Takeuchi H, Mizusawa J, Igaki H, Ozawa S, Abe T, et al. Prognostic impact of postoperative morbidity after esophagectomy for esophageal cancer: exploratory analysis of JCOG9907. Ann Surg. 2017;265(6):1152\u20137.","journal-title":"Ann Surg"},{"issue":"1","key":"1850_CR3","first-page":"17","volume":"37","author":"M Kitamura","year":"1989","unstructured":"Kitamura M, Nishihira T, Hirayama K, Kawachi S, Kano T, Akaishi T, et al. Cardiocirculatory disturbances after surgery for carcinoma of the thoracic esophagus. Jpn J Thorac Cardiovasc Surg. 1989;37(1):17\u201324.","journal-title":"Jpn J Thorac Cardiovasc Surg"},{"key":"1850_CR4","unstructured":"Ito S, Morita M, Nanbara S, Nakaji Y, Ando K, Hiyoshi Y, et al. Cardiac tamponade due to bleeding as a potential lethal complication after surgery for esophageal cancer. Anticancer Res. 2015;5."},{"issue":"3","key":"1850_CR5","first-page":"185","volume":"47","author":"V Cherian","year":"2001","unstructured":"Cherian V, Divatia JV, Kulkarni A, Dasgupta D. Cardiomediastinal tamponade and shock following three-stage transthoracic oesophagectomy. J Postgrad Med. 2001;47(3):185\u20137.","journal-title":"J Postgrad Med"},{"issue":"6","key":"1850_CR6","doi-asserted-by":"publisher","first-page":"634","DOI":"10.1177\/0310057X0102900615","volume":"29","author":"N Kariya","year":"2001","unstructured":"Kariya N, Shindoh M, Nakatani K, Asada A, Nishi S, Kurita S. Echocardiographic diagnosis of extrapericardial tamponade due to dilated gastric roll following oesophagectomy. Anaesth Intensive Care. 2001;29(6):634\u20137.","journal-title":"Anaesth Intensive Care"},{"issue":"1","key":"1850_CR7","doi-asserted-by":"publisher","first-page":"9","DOI":"10.1186\/1749-8090-7-9","volume":"7","author":"M Rottoli","year":"2012","unstructured":"Rottoli M, Russo IS, Bernardi D, Bonavina L. Atypical presentation and transabdominal treatment of chylothorax complicating esophagectomy for cancer. J Cardiothorac Surg. 2012;7(1):9.","journal-title":"J Cardiothorac Surg"},{"issue":"3","key":"1850_CR8","doi-asserted-by":"publisher","first-page":"249","DOI":"10.1007\/s00540-005-0326-0","volume":"19","author":"Y Mizuguchi","year":"2005","unstructured":"Mizuguchi Y, Takeda S, Miyashita M, Ikezaki H, Nakajima Y, Akada S, et al. A case of cardiac tamponade following esophageal resection. J Anesth. 2005;19(3):249\u201351.","journal-title":"J Anesth"},{"issue":"10","key":"1850_CR9","doi-asserted-by":"publisher","first-page":"rjx216","DOI":"10.1093\/jscr\/rjx216","volume":"2017","author":"S Kosugi","year":"2017","unstructured":"Kosugi S, Hashimoto T, Sato Y, Hirano K, Sunami E, Matsuzawa T, et al. Cardiac tamponade communicating with a posterior mediastinal chylocele after esophagectomy. J Surg Case Rep. 2017;2017(10):rjx216.","journal-title":"J Surg Case Rep"},{"key":"1850_CR10","doi-asserted-by":"crossref","unstructured":"Li L, Zhao L, He J, Han Z. Chylopericardial tamponade after minimally invasive McKeown oesophagectomy. J Thorac Dis. 2020;12(5):2830\u20132.11.","DOI":"10.21037\/jtd.2020.03.98"},{"issue":"2","key":"1850_CR11","first-page":"245","volume":"39","author":"MA Levitt","year":"1998","unstructured":"Levitt MA. Intraoperative cardiac tamponade complicating esophagogastrectomy. J Cardiovasc Surg. 1998;39(2):245\u20137.","journal-title":"J Cardiovasc Surg"},{"issue":"9","key":"1850_CR12","doi-asserted-by":"publisher","DOI":"10.3389\/fbioe.2021.667408","volume":"6","author":"D Collia","year":"2021","unstructured":"Collia D, Zovatto L, Tonti G, Pedrizzetti G. Comparative analysis of right ventricle fluid dynamics. Front Bioeng Biotechnol. 2021;6(9): 667408.","journal-title":"Front Bioeng Biotechnol"},{"key":"1850_CR13","doi-asserted-by":"crossref","unstructured":"Miller DV, Isotalo PA, Weyand CM, Edwards WD, Aubry MC, et al. Surgical pathology of noninfectious ascending aortitis: a study of 45 cases with emphasis on an isolated variant. Am J Surg Pathol. 2006;30(9):1150\u20138.14.","DOI":"10.1097\/01.pas.0000213293.04026.ec"},{"issue":"6","key":"1850_CR14","doi-asserted-by":"publisher","first-page":"572","DOI":"10.4065\/mcp.2010.0046","volume":"85","author":"MH Khandaker","year":"2010","unstructured":"Khandaker MH, Espinosa RE, Nishimura RA, Sinak LJ, Hayes SN, Melduni RM, et al. Pericardial disease: diagnosis and management. Mayo Clin Proc. 2010;85(6):572\u201393.","journal-title":"Mayo Clin Proc"},{"issue":"10","key":"1850_CR15","doi-asserted-by":"publisher","first-page":"123","DOI":"10.1186\/1477-7819-10-123","volume":"28","author":"S Celik","year":"2012","unstructured":"Celik S, Celik M, Aydemir B, Tanr\u0131kulu H, Okay T, et al. Surgical properties and survival of a pericardial window via left minithoracotomy for benign and malignant pericardial tamponade in cancer patients. World J Surg Oncol. 2012;28(10):123.","journal-title":"World J Surg Oncol"},{"issue":"1","key":"1850_CR16","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1136\/emj.2003.012963","volume":"22","author":"D Wise","year":"2005","unstructured":"Wise D, Davies G, Coats T, Lockey D, Hyde J, et al. Emergency thoracotomy: \u201chow to do it.\u201d Emerg Med J. 2005;22(1):22\u20134.","journal-title":"Emerg Med J"},{"issue":"5","key":"1850_CR17","first-page":"343","volume":"15","author":"S Fukui","year":"2009","unstructured":"Fukui S, Mitsuno M, Yamamura M, Tanaka H, Ryomoto M, et al. Aortic valve replacement in a patient with a retrosternal gastric tube and porcelain aorta. Ann Thorac Cardiovasc Surg. 2009;15(5):343\u20135.","journal-title":"Ann Thorac Cardiovasc Surg"}],"container-title":["Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01850-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40792-024-01850-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40792-024-01850-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T00:05:31Z","timestamp":1709078731000},"score":1,"resource":{"primary":{"URL":"https:\/\/surgicalcasereports.springeropen.com\/articles\/10.1186\/s40792-024-01850-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,28]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["1850"],"URL":"https:\/\/doi.org\/10.1186\/s40792-024-01850-9","relation":{},"ISSN":["2198-7793"],"issn-type":[{"value":"2198-7793","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,2,28]]},"assertion":[{"value":"5 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"19 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"28 February 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable, as this manuscript is a case report.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for the publication of this case report and the accompanying interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no conflicts of interest.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"48"}}