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Case Report: Late presentation of post-coronary artery bypass surgery pericardial effusion heralding mediastinitis with tracheocutaneous fistula

Year: 2025

Type: article

Abstract: 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.

Source: Frontiers in Cardiovascular Medicine

DOI: 10.3389/fcvm.2025.1483395

Authors: Muhammad Idu, Chiw Yeh Lim, Kim Chai Chua

Institution: National Heart Centre Singapore

Language: English

Topic: Pericarditis and Cardiac Tamponade

Subfield: Cardiology and Cardiovascular Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801