Heart, Lung and Circulation
Image| Volume 29, ISSUE 9, e258-e259, September 2020

An Unusual Case of Intermittent Cardiac Tamponade

Published:March 26, 2020DOI:
      A 64-year-old man presented to his general practitioner complaining of intermittent shortness of breath on exertion, particularly when constipated. His background included a traumatic above the knee amputation and coronary artery bypass surgery 20 years ago using bilateral internal thoracic arteries and the left radial artery; this was complicated by a deep sternal wound infection that required sternal debridement and bilateral pectoral flaps advancement. A recurrent infection 3 months later was treated with a second debridement and partial sternectomy followed by pedicled omental flap reconstruction.
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