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Cardiac Tamponade is usually consequence of increased pericardial pressure with accumulation of pericardial effusion. We are reporting a case of acute kidney injury after mitral valve replacement due to acute pericardial effusion with clot. A 38-year-old female presented to CTVS department of our institute with history of palpitations and shortness of breath. On further examination and investigations she was diagnosed with severe mitral stenosis. Mitral valve replacement was done for her. In post operative period she developed cardio renal syndrome due to cardiac tamponade which presented as acute kidney injury. Re-exploration was done and clot was removed. She was shifted to ward after post operative monitoring and extubation.

Acute cardiac tamponade: A unusual cause of acute kidney injury