Background. Thoracoabdominal esophagogastrectomy is associated with a
number of potential life-threatening complications. Patients. We descr
ibe a patient with intraoperative hypotension in which a number of the
rapeutic maneuvers eventually led to the diagnosis of cardiac tamponad
e. Results. Once the diagnosis of tamponade was made, it was successfu
lly treated by the release of intrapericardial blood. Conclusions. Alt
hough rare, tamponade should be considered as a cause of hemodynamic i
nstability whenever intraoperative manipulation of the heart has occur
red.