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Right or Left Traumatic Pericardial Rupture: Report of a Thought-Provoking Case.
- Source :
-
Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia [Ann Thorac Cardiovasc Surg] 2016; Vol. 22 (1), pp. 49-51. Date of Electronic Publication: 2015 Jul 06. - Publication Year :
- 2016
-
Abstract
- A 62-yr-old man was transferred to our institution with blunt chest trauma after being pinched between a car and a wall. Chest computed tomography revealed left-sided rib fractures, bilateral pneumothorax, and pneumopericardium, but no displacement of the heart. The pneumopericardium caused us to suspect a tear in the pericardium. Since the left pneumothorax was slightly more marked than the right, we planned a left-sided thoracoscopic exploration. As a result, a right-sided pericardial rupture was found and repaired under thoracotomy. It was difficult to judge the injured side of the pericardial tear. We learned a valuable lesson from this case: The extent of pleural air may be, but is not always, reliable for identification of the injured side of a pericardial rupture. Direct observation of the pleural space using a thoracoscope is necessary for definitive diagnosis.
- Subjects :
- Accidents, Traffic
Aged
Heart Injuries etiology
Heart Injuries surgery
Humans
Male
Pericardium surgery
Pneumopericardium etiology
Pneumothorax etiology
Predictive Value of Tests
Reproducibility of Results
Suture Techniques
Thoracoscopes
Thoracotomy
Tomography, X-Ray Computed
Treatment Outcome
Wounds, Nonpenetrating etiology
Wounds, Nonpenetrating surgery
Heart Injuries diagnosis
Pericardium injuries
Thoracoscopy instrumentation
Wounds, Nonpenetrating diagnosis
Subjects
Details
- Language :
- English
- ISSN :
- 2186-1005
- Volume :
- 22
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia
- Publication Type :
- Academic Journal
- Accession number :
- 26156081
- Full Text :
- https://doi.org/10.5761/atcs.cr.15-00142