Clin Case Rep

. 2025 Nov 21;13(11):e71463.

 doi: 10.1002/ccr3.71463. eCollection 2025 Nov. https://pubmed.ncbi.nlm.nih.gov/41280267/

Cardiac Tamponade During Congenital Diaphragmatic Hernia Repair in an Infant: A Case Report and Literature Review

Pershia Davoodi Karsalari ^1 2, Aylar Mohammadi ¹, Noosha Samieefar ^1 3, Gholamreza Ebrahimisaraj ⁴, Mehdi Sarafi ⁴, Nastaran Sadat Mahdavi ⁵, Parinaz Alizadeh ^1 6

Affiliations Expand

• PMID: 41280267
• PMCID: PMC12638220
• DOI: 10.1002/ccr3.71463

Abstract

Intraoperative cardiac tamponade is an exceptionally rare but life-threatening complication during congenital diaphragmatic hernia repair in infants. In this case, pericardial effusion from inadvertent intravenous fluid extravasation led to cardiovascular collapse. Prompt recognition and pericardiocentesis were lifesaving, emphasizing vigilance when unexplained hemodynamic instability occurs during central or jugular venous access.

Keywords: congenital anomaly; congenital diaphragmatic hernia repair; intraoperative cardiac tamponade; neonatal cardiac arrest; neonatal intensive care; neonatal surgical complication; pericardiocentesis.

© 2025 The Author(s). Clinical Case Reports published by John Wiley & Sons Ltd.

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Darlene Silverman

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