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Related Concept Videos

Pericarditis III: Medical Management01:17

Pericarditis III: Medical Management

The primary objectives of managing pericarditis are to determine the underlying cause, provide effective therapy for treatment and symptom relief, and promptly detect signs and symptoms of cardiac tamponade. The following outlines the essential aspects of medical management for pericarditis:ObjectivesDetermine the Cause: Identifying the underlying cause of pericarditis is crucial for targeted treatment. Causes include viral infections, autoimmune diseases, post-cardiac injury syndrome, and...
Pericarditis I: Introduction01:22

Pericarditis I: Introduction

Pericarditis is defined as the inflammation of the pericardium, the thin, sac-like membrane surrounding the heart. This condition can cause significant chest pain and other symptoms, often necessitating medical intervention. The pericardium has two layers: the inner visceral layer and the outer parietal layer, separated by a small amount of fluid that reduces friction during heartbeats.Types of PericarditisPericarditis can be classified into several types based on the duration and nature of the...
Pericarditis IV: Nursing Management01:25

Pericarditis IV: Nursing Management

Pericarditis, an inflammation of the pericardium, necessitates diligent nursing management to ensure effective patient care and recovery. The initial step in managing pericarditis is a comprehensive patient medical assessment.The patient reports chest pain aggravated by breathing, coughing, and swallowing, which worsens when lying supine. The pain often improves when sitting up and leaning forward. Additional symptoms may include fever, malaise, and, in severe cases, signs of heart failure.
Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Pericarditis II: Clinical Features and Diagnostic Tests01:19

Pericarditis II: Clinical Features and Diagnostic Tests

Pericarditis is distinguished by inflammation of the pericardium, the fibrous sac that encases the heart. It can be acute, lasting less than six weeks, or chronic, persisting for over three months. Understanding its clinical manifestations and diagnostic findings is crucial for timely and effective management.Clinical ManifestationsWhile pericarditis can be asymptomatic, it usually presents with characteristic symptoms such as:Chest Pain: The most characteristic symptom of pericarditis is chest...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:

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Related Experiment Video

Updated: Jul 13, 2026

An Intact Pericardium Ischemic Rodent Model
07:15

An Intact Pericardium Ischemic Rodent Model

Published on: September 2, 2021

Non-perforating pericardial rupture causing cardiac tamponade.

Hiroshi Onda1, Yuichiro Kaminishi, Yoshio Misawa

  • 1Division of Cardiovascular Surgery, Jichi Medical School, Minami-kawachi, Tochigi 329-0498, Japan.

Interactive Cardiovascular and Thoracic Surgery
|August 3, 2007
PubMed
Summary

A traumatic chest injury caused cardiac tamponade and a pericardial laceration. Prompt surgical repair via median sternotomy and pericardiotomy successfully treated the condition, leading to an uneventful recovery.

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Last Updated: Jul 13, 2026

An Intact Pericardium Ischemic Rodent Model
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Transcatheter Pulmonary Valve Replacement from Autologous Pericardium with a Self-Expandable Nitinol Stent in an Adult Sheep Model

Published on: June 8, 2022

Area of Science:

  • Cardiothoracic Surgery
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Traumatic cardiac tamponade is a life-threatening condition often resulting from blunt or penetrating chest trauma.
  • High central venous pressure and chest wall pain are key indicators of cardiac tamponade.
  • Rib fractures and pleural effusions can accompany significant thoracic trauma.

Purpose of the Study:

  • To report a case of traumatic cardiac tamponade secondary to a traffic accident.
  • To describe the successful surgical management of a non-perforating pericardial laceration.
  • To highlight the importance of prompt diagnosis and intervention in severe chest trauma.

Main Methods:

  • A 51-year-old male auto truck driver with severe left anterior chest pain and elevated central venous pressure was diagnosed with cardiac tamponade.
  • Diagnostic imaging revealed a right seventh rib fracture and left pleural effusion.
  • Surgical intervention included median sternotomy, pericardiotomy for effusion drainage, and direct suture repair of the pericardial laceration.

Main Results:

  • Pericardiotomy successfully relieved the cardiac tamponade by draining bloody pericardial effusion.
  • The non-perforating pericardial laceration was effectively repaired with direct sutures.
  • The patient experienced an uneventful postoperative recovery.

Conclusions:

  • Traumatic cardiac tamponade, even with associated injuries like rib fractures, is treatable with prompt surgical intervention.
  • Median sternotomy and pericardiotomy are effective procedures for managing cardiac tamponade in trauma patients.
  • Direct suture repair is a viable option for non-perforating pericardial lacerations.