Pericardial tamponade during ventriculoperitoneal shunt placement : a case report (Preprint)

BACKGROUND Intraoperative tamponade is a serious emergency, which can lead to cardiac arrest and death if not diagnosed in time. Lateral ventricular peritoneal drainage is an effective operation for the treatment of hydrocephalus, this kind of surgery is relatively safe, and the complications are mostly reported to be infection, and no cases of pericardial tamponade have been reported. Case: The patient, a 66-year-old male, had a history of craniocerebral surgery for height fall 8 months ago. Hemopericardium and pericardial tamponade occurred during lateral ventriculoperitoneal drainage. The patient underwent an emergency pericardial puncture and recovered without further complications after 15 days of pericardial drainage. Conclusion: Although the operation of lateral ventriculoperitoneal drainage is not difficult, it passes through the heart region. If refractory hypotension, circulatory collapse, cardiac arrest and other events occur during the operation, the possibility of pericardial tamponade should be considered and timely diagnosis and treatment should be conducted. OBJECTIVE Through the case report, the anesthesiologist should pay attention to the sudden situation of such patients and deal with it in time and effectively METHODS A detailed introduction to case review and management RESULTS Increase the anesthesiologist to deal with the sudden situation of such patients CONCLUSIONS Although the probability of pericardial tamponade due to lateral ventriculoperitoneal drainage is very small, this case reminds us that the possibility of pericardial tamponade should be considered when hemodynamic instability, refractory hypotension, and unexplained cardiac arrest occur after surgery across the cardiac region. Timely consideration of cardiac ultrasonography is the key to definite diagnosis and successful rescue.