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Post-traumatic Left Ventricular Aneurysm with Massive Hemopericardium in a Child Presenting 3 Years After a Fall

Authors :
Wei-Ting Lai
Shan-Miao Lin
Shyr-Jao Wu
Haw-Kwei Hwang
Chun-Chih Peng
Ming-Ren Chen
Source :
Pediatrics and Neonatology, Vol 54, Iss 6, Pp 406-408 (2013)
Publication Year :
2013
Publisher :
Elsevier, 2013.

Abstract

A 7-year-old boy developed a left ventricular aneurysm with massive hemopericardium 3 years ago due to a fall from a fourth-floor window. He had mild neurological sequelae including cranial nerve III palsy and abnormal electroencephalography findings at that time. He had no chest pain until recently when he presented with chest tightness and abdominal pain for 2 days prior to admission. Chest X-ray showed marked cardiomegaly. Echocardiography revealed massive pericardial effusion and a large left ventricular aneurysm. The massive hemopericardium was surgically drained, and the aneurysm was resected under cardiopulmonary bypass. He was discharged uneventfully 1 week after operation. Because symptoms and signs can vary in patients with ventricular aneurysm, we strongly suggest a close clinical follow-up, preferably with chest X-ray or echocardiography, for patients experiencing a blunt chest trauma.

Details

Language :
English
ISSN :
18759572
Volume :
54
Issue :
6
Database :
Directory of Open Access Journals
Journal :
Pediatrics and Neonatology
Publication Type :
Academic Journal
Accession number :
edsdoj.15d20b51841c4e8eb0e3cc8df006c7c1
Document Type :
article
Full Text :
https://doi.org/10.1016/j.pedneo.2012.12.001