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Chronic expanding intrapericardial hematoma mimicking ST elevation myocardial infarction: A case report

Houssein Y Toufayli1, Noura W Masri1, Ali Msheik2

  • 1Cardiology Deparmtent, Faculty of Medicine and Medical Sciences, Balamand University, Lebanon.

International Journal of Surgery Case Reports
|July 4, 2024
PubMed

Insights

Chest pain after Tetralogy of Fallot (TOF) repair may indicate a rare complication called cardiac tamponade due to hemopericardium (CEIH). Early diagnosis and intervention are vital for patient outcomes.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Medical Diagnostics

Background:

  • The pericardium is crucial for heart protection.
  • Pericarditis and Tetralogy of Fallot (TOF) present diagnostic challenges.
  • Cardiac tamponade due to hemopericardium (CEIH) is a rare complication post-TOF repair.

Observation:

  • A 57-year-old male, status post TOF repair, presented with chest pain and hypotension.
  • Diagnostic evaluation revealed CEIH.
  • Evidence of right ventricular strain was noted.

Findings:

  • CEIH is a rare but significant complication following TOF repair.
  • Chest pain in post-TOF repair patients can be a symptom of CEIH.
  • Right ventricular strain indicates the severity of the condition.

Implications:

  • Timely recognition of CEIH is critical for effective management.
  • Prompt intervention in CEIH cases can prevent serious complications.
  • Vigilance for CEIH improves patient outcomes after TOF repair.
Abstract

Keywords:
HematomaIntrapericardialSTEMITOFTetralogy of Fallot

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