{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T17:49:18Z","timestamp":1790790558255,"version":"4.1.0"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T00:00:00Z","timestamp":1709769600000},"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":["Gen Thorac Cardiovasc Surg Cases"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Cardiac tamponade caused by coronary artery injury is an extremely rare postlobectomy complication. Herein, we present a case of cardiac tamponade due to coronary artery injury after a left upper lobectomy for lung cancer and discuss the possible cause of coronary artery injury.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Case presentation<\/jats:title>\n                <jats:p>An 82-year-old man with atrial fibrillation, emphysema, chronic heart failure-associated cardiomegaly, and a history of aortic stenting for an abdominal aortic aneurysm underwent a left upper lobectomy without mediastinal nodal dissection for lung cancer. Twenty-eight hours postoperatively, he lost consciousness and went into shock vitals; computed tomography revealed cardiac tamponade. Emergency surgery was performed, which revealed a left circumflex artery laceration. Although the laceration was successfully repaired, he had a gastrointestinal perforation and developed septic shock. He died 35 days after the lung surgery. Intraoperative injury to the heart cannot be ruled out, but the site of the coronary artery injury was located far from the hilum outside the surgical field during the lobectomy. Three-dimensional computed tomography showed that the site of injury was close to the multiple firing junction of the staples that divided the anterior interlobar fissure. Two staples at the multiple firing junction, which protruded perpendicularly to the cut surface, could injure the coronary artery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusion<\/jats:title>\n                <jats:p>Although we cannot rule out the possibility that the intraoperative manipulation procedures contributed to the coronary artery injury, we speculate that the protruding staples might penetrate the pericardium after lung expansion and eventually injured the coronary artery.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s44215-024-00143-9","type":"journal-article","created":{"date-parts":[[2024,3,7]],"date-time":"2024-03-07T13:04:57Z","timestamp":1709816697000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Cardiac tamponade due to coronary artery injury after left upper lobectomy"],"prefix":"10.1186","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3713-2854","authenticated-orcid":false,"given":"Toru","family":"Kawakami","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Iwakura","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Atsumi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyomi","family":"Shimoda","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miyako","family":"Hiramatsu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuji","family":"Shiraishi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,3,7]]},"reference":[{"key":"143_CR1","doi-asserted-by":"publisher","first-page":"545","DOI":"10.1016\/S0003-4975(98)01245-4","volume":"67","author":"RH McLean","year":"1999","unstructured":"McLean RH, Paradian BB, Nam MH. Pericardial tamponade: an unusual complication of lobectomy for lung cancer. Ann Thorac Surg. 1999;67:545\u20136.","journal-title":"Ann Thorac Surg."},{"key":"143_CR2","doi-asserted-by":"publisher","first-page":"1864","DOI":"10.1016\/0003-4975(96)81290-2","volume":"60","author":"EA Tovar","year":"1995","unstructured":"Tovar EA. Pulmonary resection complicated by abrupt pericardial tamponade. Ann Thorac Surg. 1995;60:1864.","journal-title":"Ann Thorac Surg."},{"key":"143_CR3","doi-asserted-by":"publisher","first-page":"476","DOI":"10.1007\/BF02470980","volume":"21","author":"M Morimoto","year":"1991","unstructured":"Morimoto M, Ohashi M, Nobara H. Rupture of the ascending aorta after surgical resection for lung cancer. Jpn J Surg. 1991;21:476\u20139.","journal-title":"Jpn J Surg."},{"key":"143_CR4","first-page":"134","volume":"69","author":"C Kotoulas","year":"2008","unstructured":"Kotoulas C, Meraj S, Odom NJ. Asymptomatic fatal post-lobectomy hemopericardium. Monaldi Arch Chest Dis. 2008;69:134\u20136.","journal-title":"Monaldi Arch Chest Dis."},{"key":"143_CR5","doi-asserted-by":"publisher","first-page":"1009","DOI":"10.1536\/ihj.18-432","volume":"60","author":"Z He","year":"2019","unstructured":"He Z, Chen G, He X, He X. Spontaneous coronary artery rupture causing acute cardiac tamponade and cardiogenic shock. Int Heart J. 2019;60:1009\u201312.","journal-title":"Int Heart J."},{"key":"143_CR6","doi-asserted-by":"publisher","first-page":"e381","DOI":"10.1016\/j.athoracsur.2018.10.046","volume":"107","author":"X Chen","year":"2019","unstructured":"Chen X, Miao Q, Yu Y, Zhang F, Sun L, Meng Y, et al. Blunt trauma-induced pericardial tamponade after video-assisted thoracoscopic surgery. Ann Thorac Surg. 2019;107:e381\u20133.","journal-title":"Ann Thorac Surg."},{"key":"143_CR7","doi-asserted-by":"publisher","first-page":"2107","DOI":"10.1016\/j.athoracsur.2012.04.128","volume":"94","author":"J Chen","year":"2012","unstructured":"Chen J, Chen Z, Pang L, Zhu Y, Ma Q, Chen G, et al. A malformed staple causing cardiac tamponade after lobectomy. Ann Thorac Surg. 2012;94:2107\u20138.","journal-title":"Ann Thorac Surg."},{"key":"143_CR8","doi-asserted-by":"publisher","first-page":"657","DOI":"10.1016\/S1569-9293(03)00188-9","volume":"2","author":"JB Pillai","year":"2003","unstructured":"Pillai JB, Barnard S. Cardiac tamponade: a rare complication after pulmonary lobectomy. Interact Cardiovasc Thorac Surg. 2003;2:657\u20139.","journal-title":"Interact Cardiovasc Thorac Surg."},{"key":"143_CR9","doi-asserted-by":"publisher","first-page":"502","DOI":"10.1093\/icvts\/ivab267","volume":"34","author":"T Yamashita","year":"2022","unstructured":"Yamashita T, Asai K. Delayed cardiac tamponade caused by a staple line after wedge resection of the lung. Interact Cardiovasc Thorac Surg. 2022;34:502\u20133.","journal-title":"Interact Cardiovasc Thorac Surg."},{"key":"143_CR10","doi-asserted-by":"publisher","first-page":"31","DOI":"10.1186\/s40792-020-0797-0","volume":"6","author":"K Yamano","year":"2020","unstructured":"Yamano K, Fujikawa R, Nakamura T. Delayed bleeding due to a sharp protruding edge of the endostaplers after a wedge resection of the lung: a case report. Surg Case Rep. 2020;6:31.","journal-title":"Surg Case Rep."}],"container-title":["General Thoracic and Cardiovascular Surgery Cases"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s44215-024-00143-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s44215-024-00143-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s44215-024-00143-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,3,10]],"date-time":"2024-03-10T17:04:40Z","timestamp":1710090280000},"score":1,"resource":{"primary":{"URL":"https:\/\/gtcscases.biomedcentral.com\/articles\/10.1186\/s44215-024-00143-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,7]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["143"],"URL":"https:\/\/doi.org\/10.1186\/s44215-024-00143-9","relation":{},"ISSN":["2731-6203"],"issn-type":[{"value":"2731-6203","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,7]]},"assertion":[{"value":"21 October 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 February 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"7 March 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.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and accompanying images.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"21"}}