DOI: 10.12890/2024_004647
When rhythm correction turns risky: rare right-sided haemorrhagic pleural effusion post MAZE procedure
Authors
ynavari891@gmail.com
Keywords
Haemothorax, MAZE procedure, pleural effusionAbstract
The maze procedure for atrial fibrillation carries risks, including pleural effusion. We report a case of a 54-year-old woman with right-sided pleural effusion post maze surgery, presenting with dyspnoea. Despite treatment, complications arose, including atrial flutter. Prompt recognition and multidisciplinary management led to a favourable outcome. This case underscores the importance of vigilance for rare post-operative complications and highlights the need for collaborative care in optimising patient outcomes following cardiac surgeries. Further research is warranted to refine management strategies for such occurrences.
References
- Light RW. Pleural effusions following cardiac injury and coronary artery bypass graft surgery. Semin Respir Crit Care Med 2001;22:657–664.
- Beaudoin S, Gonzalez AV. Evaluation of the patient with pleural effusion. CMAJ 2018;190:E291–E295.
- Cox JL, Churyla A, Malaisrie SC, Kruse J, Pham DT, Kislitsina ON, et al. When Is a maze procedure a maze procedure? Can J Cardiol 2018;34:1482–1491.
- Gao Y, Luo H, Yang R, Xie W, Jiang Y, Wang D, et al. Safety and efficacy of Cox-Maze procedure for atrial fibrillation during mitral valve surgery: a meta-analysis of randomised controlled trials. J Cardiothorac Surg 2024;19:140.
- Christensen JD, Seaman DM, Washington L. Imaging of complications of thoracic and cardiovascular surgery. Radiol Clin North Am 2014;52:929–959.
- Jany B, Welte T. Pleural effusion in adults-etiology, diagnosis, and treatment. Dtsch Arztebl Int 2019;116:377–386.
- Jiang Z, Ma N, Tang M, Liu H, Ding S, Ding F, et al. The Mei mini-maze procedure. Asian Cardiovasc Thorac Ann 2020;28:416–420.
- Almassi GH. Cox Maze IV procedure is effective, but is it for everybody? J Thorac Cardiovasc Surg 2018;155:171.
- Dresen W, Mason PK. Atrial flutter after surgical maze: incidence, diagnosis, and management. Curr Opin Cardiol 2016;31:57–63.