{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:51:16Z","timestamp":1753890676056,"version":"3.41.2"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T00:00:00Z","timestamp":1739404800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cardiovasc. Med."],"abstract":"<jats:p>Post-coronary artery bypass surgery pericardial effusions are typically self-limiting but may rarely be significant, causing pericardial tamponade. We describe a case of late post-operative pericardial effusion that required pericardiocentesis and subsequent readmission for mediastinitis with the added complication of a tracheocutaneous fistula. Our case report is the first reported instance of pericardial tamponade heralding the onset of mediastinitis. It also describes the rare complication of tracheocutaneous fistula associated with mediastinitis.<\/jats:p>","DOI":"10.3389\/fcvm.2025.1483395","type":"journal-article","created":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T07:08:03Z","timestamp":1739430483000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Late presentation of post-coronary artery bypass surgery pericardial effusion heralding mediastinitis with tracheocutaneous fistula"],"prefix":"10.3389","volume":"12","author":[{"given":"Muhammad","family":"Idu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chiw Yeh","family":"Lim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kim Chai","family":"Chua","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,2,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"327","DOI":"10.1136\/hrt.72.4.327","article-title":"Pericardial effusion after cardiac surgery: incidence, site, size, and haemodynamic consequences","volume":"72","author":"Pepi","year":"1994","journal-title":"Br Heart J"},{"key":"B2","doi-asserted-by":"publisher","first-page":"112","DOI":"10.1016\/j.athoracsur.2009.09.026","article-title":"Pericardial effusion after cardiac surgery: risk factors, patient profiles, and contemporary management","volume":"89","author":"Ashikhmina","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"835","DOI":"10.1093\/icvts\/ivx011","article-title":"Incidence, presentation and risk factors of late postoperative pericardial effusions requiring invasive treatment after cardiac surgery","volume":"24","author":"Khan","year":"2017","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1502","DOI":"10.1016\/j.athoracsur.2010.02.038","article-title":"Mediastinitis after coronary artery bypass grafting risk factors and long-term survival","volume":"89","author":"Risnes","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"2245","DOI":"10.1161\/01.CIR.92.8.2245","article-title":"Mediastinitis after coronary artery bypass graft surgery","volume":"92","author":"Milano","year":"1995","journal-title":"Circulation"},{"volume-title":"Mediastinitis","year":"","author":"Kappus","key":"B6"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e156","DOI":"10.1097\/MD.0000000000000156","article-title":"Tracheomediastinal fistula in a patient with lung adenocarcinoma and its treatment with argon plasma coagulation: a case report","volume":"93","author":"Ucer","year":"2014","journal-title":"Medicine (Baltimore)"},{"key":"B8","doi-asserted-by":"publisher","first-page":"832","DOI":"10.1016\/S0003-4975(98)01342-3","article-title":"Surgical treatment of tracheomediastinal fistula from recurrent Hodgkin\u2019s lymphoma","volume":"67","author":"Tse","year":"1999","journal-title":"Ann Thorac Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"876","DOI":"10.5811\/westjem.2014.8.23438","article-title":"Tracheal-mediastinal fistula post-chemoradiation therapy","volume":"15","author":"McCarthy","year":"2014","journal-title":"West J Emerg Med"},{"key":"B10","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1111\/1759-7714.13888","article-title":"Delayed onset of mediastinitis with tracheomediastinal fistula following endobronchial ultrasound-guided transbronchial needle aspiration; A case report","volume":"12","author":"Jang","year":"2021","journal-title":"Thorac Cancer"}],"container-title":["Frontiers in Cardiovascular Medicine"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1483395\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,13]],"date-time":"2025-02-13T07:08:06Z","timestamp":1739430486000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcvm.2025.1483395\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2,13]]},"references-count":10,"alternative-id":["10.3389\/fcvm.2025.1483395"],"URL":"https:\/\/doi.org\/10.3389\/fcvm.2025.1483395","relation":{},"ISSN":["2297-055X"],"issn-type":[{"type":"electronic","value":"2297-055X"}],"subject":[],"published":{"date-parts":[[2025,2,13]]},"article-number":"1483395"}}