Imaging Early Postoperative Complications of Cardiothoracic Surgery

Radiol Clin North Am. 2020 Jan;58(1):133-150. doi: 10.1016/j.rcl.2019.08.009. Epub 2019 Oct 21.

Abstract

Imaging plays a central role in the evaluation of patients following cardiothoracic surgery, both for monitoring in the early postoperative period and for assessing for suspected complications. Patients with postsurgical complications can develop a range of signs and symptoms, from hypotension and tachycardia, as the result of severe bleeding, to fever and leukocytosis because of infection. The radiologist is an important member of the care team in the postoperative period, helping identify and manage complications of cardiothoracic surgery. This article reviews the common complications of cardiothoracic surgery focusing on the role of imaging and clues to diagnosis.

Keywords: Bronchopleural fistula; Empyema; Esophagectomy; Pneumonectomy; Postoperative complications; Thoracotomy.

Publication types

  • Review

MeSH terms

  • Cardiac Surgical Procedures / adverse effects
  • Heart Diseases / diagnostic imaging*
  • Heart Diseases / etiology
  • Humans
  • Postoperative Complications / diagnostic imaging*
  • Postoperative Complications / etiology
  • Radiography / methods
  • Respiratory Tract Diseases / diagnostic imaging*
  • Respiratory Tract Diseases / etiology
  • Thoracic Surgical Procedures / adverse effects*
  • Tomography, X-Ray Computed / methods*
  • Vascular Diseases / diagnostic imaging*
  • Vascular Diseases / etiology