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Delayed tension pneumopericardium after thoracotomy for penetrating chest trauma

W A Hymes1, K M Itani, M J Wall

  • 1Cora and Webb Mading Department of Surgery, Baylor College of Medicine, Houston, Texas 77030.

The Annals of Thoracic Surgery
|June 1, 1994
PubMed

Insights

Tension pneumopericardium, a rare condition in infants, is increasingly seen in adults. This case highlights delayed postoperative tension pneumopericardium in an adult, reviewing its causes, symptoms, and management.

Area of Science:

  • Cardiology
  • Thoracic Surgery
  • Critical Care Medicine

Background:

  • Tension pneumopericardium is a life-threatening condition characterized by air accumulation within the pericardial sac, leading to cardiac tamponade.
  • Historically associated with neonates on positive-pressure ventilation, recent literature indicates a rising incidence in adult populations.

Observation:

  • This report details a rare case of delayed tension pneumopericardium occurring postoperatively in an adult patient.
  • The presentation followed a surgical procedure, suggesting potential iatrogenic or delayed complications.

Findings:

  • The case underscores the importance of recognizing tension pneumopericardium in adults, even in delayed postoperative settings.
  • A comprehensive review of the condition's history, pathophysiology, clinical presentation, and therapeutic strategies is provided.

Implications:

  • Increased awareness and prompt diagnosis are crucial for improving outcomes in adult patients with tension pneumopericardium.
  • This case contributes to the understanding of adult tension pneumopericardium, guiding clinical practice and future research.

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