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Related Experiment Videos

[Post-traumatic constrictive pericarditis with fast course].

F Turetta1, R De Stefani, A Cannizzaro

  • 1Servizio di Anestesia e Rianimazione, Ospedale di Mestre, ULSS 36, Venezia-Mestre.

Annales Francaises D'Anesthesie Et De Reanimation
|January 1, 1991
PubMed
Summary
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A case of blunt thoracic trauma led to delayed pericardial effusion and thickening, mimicking myocardial injury. Surgical intervention resolved the effusion, highlighting the importance of considering pericardial complications after chest trauma.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Trauma Medicine

Background:

  • Blunt thoracic trauma can cause complex injuries.
  • Acute respiratory failure necessitates mechanical ventilation.
  • Myocardial injury is a potential complication of chest trauma.

Observation:

  • A 46-year-old male presented with flail chest and respiratory failure post-trauma.
  • Delayed electrocardiogram changes (QS waves) suggested myocardial infarction but were unconfirmed.
  • Subsequent development of tachycardia, dyspnea, and significant pericardial effusion occurred.

Findings:

  • Echocardiography revealed marked pericardial thickening and effusion (500 ml) with normal myocardial function.
  • Pericardial effusion and thickening were confirmed during drainage pericardiocentesis and pericardiectomy.

Related Experiment Videos

  • Histopathology showed a thickened, fibrous, hyperemic pericardium with epicardial adhesion and right ventricular ecchymosis.
  • Implications:

    • This case underscores the possibility of delayed pericardial complications following blunt chest trauma.
    • Pericardial effusion and thickening can mimic myocardial injury, necessitating thorough diagnostic evaluation.
    • Prompt recognition and management, including pericardiocentesis and pericardiectomy, are crucial for favorable outcomes.