Résumé
We present a case of a patient exhibiting isolated elevation of the central venous pressure with minimal hemodynamic deterioration in an immediate postoperative period after Bentall operation requiring re-exploration. Isolated elevation of the central venous pressure usually alerts physicians of a volume overload or right ventricular dysfunction. However, even in the absence of significant hemodynamic deterioration, the development of loculated hematoma that compresses the superior vena cava should be ruled out, as it can be life-threatening through the formation of cerebral and laryngeal edema, similar to superior vena cava syndrome. This case emphasizes the importance of a prompt differential diagnosis of the isolated central venous pressure elevation after cardiac surgery with transesophageal echocardiography for the administration of appropriate treatment.
Sujets)
Humains , Procédures de chirurgie cardiaque , Pression veineuse centrale , Diagnostic différentiel , Échocardiographie transoesophagienne , Hématome , Hémodynamique , Oedème laryngé , Période postopératoire , Syndrome de la veine cave supérieure , Chirurgie thoracique , Veine cave supérieure , Dysfonction ventriculaire droiteRésumé
The first author's name was misspelled as Saija Seo. The correct spelling is Saiju Seo.