Postpericardiotomy syndrome from transdiaphragmatic pericardial window following trauma: first description and review of the literature.

Diagnostic pericardial window (by either subxyphoid or transdiaphragmatic approach) is commonly utilized to exclude traumatic cardiac injury. Although regarded as a low-risk procedure, rare complications such as bacterial pericarditis, iatrogenic cardiac injury, cardiac herniation and postpericardiotomy syndrome can occur. We report the first description of postpericardiotomy syndrome following transdiaphragmatic pericardial window.

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