Penumopericardium and tension pneumopericardium after closed-chest injury.

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Penumopericardium and tension pneumopericardium after closed-chest injury.

Three recent cases of pneumopericardium after closed-chest injury are described. The mechanism of pericardial inflation suspected in each was pleuropericardial laceration in the presence of an intrathoracic air leak. Deflation of the pericardium was achieved by underwater seal drainage of the right pleural cavity in the first patient, during thoracotomy for repair of tracheobronchial rupture in...

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Pneumopericardium is defined as the presence of air inside the pericardial space. Usually, it is reported as a complication of blunt or penetrating chest trauma, but rare iatrogenic and spontaneous cases have been reported. Pneumopericardium is relatively stable if it does not generate a tension effect on the heart. However, it may progress to tension pneumopericardium, which requires immediate...

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Tension pneumopericardium in an infant.

Three serial chest radiographs (CXR) are presented to document the patient’s clinical course. (A) Patient’s on CXR to the emergency department, which shows a right sided pulmonary infiltrate as the probable cause nfants presenting respiratory distress. (B) The development of pneumopericardium (black arrows) after endotratubation. (C) CXR taken after pericardiocentesis and insertion of a pericar...

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A 13-month-old girl who had no medical history uneventfully underwent patch closure of an atrial septal defect under mild hypothermic cardiopulmonary bypass. An immediately postoperative chest radiograph did not show any unusual findings (the Figure, A), and the process of weaning her from the ventilator was started. Just before extubation (6 hours after transfer to the intensive care unit), a ...

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ژورنال

عنوان ژورنال: Thorax

سال: 1977

ISSN: 0040-6376

DOI: 10.1136/thx.32.1.91