Recurrent Pericardial Effusion after Coronary Artery Bypass Grafting in a Patient with Pancreatic Pseudocyst

Daiki Hirayama＊	Susumu Manabe＊	Norihisa Yuge＊
Ryoji Kinoshita＊	Soutaro Katsui＊	Hidetoshi Uchiyama＊
Masahiro Ohnuki＊	Kazunobu Hirooka＊

（Department of Cardiac Surgery＊, and Department of Vascular Surgery＊＊, Tsuchiura Kyodo General Hospital, Tsuchiura, Japan）

A 50-year-old man was admitted to our hospital due to chest pain. He had a history of chronic pancreatitis associated with a pancreatic pseudocyst. Coronary angiography revealed stenotic lesions in left main trunk and right coronary artery coronary artery bypass grafting（RITA-LAD, LITA-OM, SVG-#4PD）were performed. The postoperative course was uneventful without any complications, and he was discharged on the 9th day after surgery. A week later, fatigue and dyspnea appeared. Echocardiography showed a large mount of pericardial fluid and echo-guided pericardiocentesis was performed. One week after the procedure the pericardial fluid reaccumulated. Pericardial drainage resulted in continuous drainage of pericardial fluid. A 7 French plastic stent was placed in the pancreatic pseudocyst, which decompressed the pancreatic pseudocyst, which led to the disappearance of pericardial effusion accumulation. The possible relation between a recurrent pericardial fluid accumulation and a pancreatic pseudocyst was suspected.

 

Jpn. J. Cardiovasc. Surg. 48:193-196（2019）

Keywords：pericardial effusion;pancreatic pseudocyst