Pneumopericardium Resulting in Cardiac Tamponade

Cardiac tamponade most commonly results from accumulation of blood or other fluids within the pericardial sac. However, there is a growing body of clinical evidence showing that pneumopericardium can lead to cardiac tamponade in a large number of patients. Including those in the present report, a total of 252 patients with pneumopericardium are available for review. Interestingly, cardiac tamponade developed in 94 patients, or 37% of this group, because of air within the pericardial space. Pneumopericardium resulting in tamponade most frequently occurs in trauma patients or in newborn infants requiring positive pressure ventilation. This syndrome can be recognized promptly because of its characteristic physical findings and radiographic features. Although air tamponade can be treated effectively by either needle aspiration or insertion of a pericardial tube, the development of a pneumopericardium is a bad prognostic sign. Out of the 221 patients reported in the literature whose outcome is known, 127 (57%) died. In the group with a tension pneumopericardium, the mortality was 56% (53 out of 94 patients). Even without the development of tension, however, pneumopericardium was associated with a 58% mortality (74 out of 127 patients) due to other underlying disease processes.     

Cardiac Tamponade as an Unusual Manifestation of Infective Endocarditis

Abstract Contained rupture of the left ventricle secondary to a myocardial abscess is uncommon. We present a case of infective endocarditis of the aortic valve with an unusual manifestation: a cardiac tamponade due to a pseudoaneurysm of the left ventricle. (J Card Surg 2010;25:165‐167)     

Chylopericardium Presenting with Tamponade and Cardiogenic Shock

Abstract We are presenting a rare case of cardiogenic shock caused by chylopericardium. After the initial pericardial drainage and failed conservative treatment, thoracic duct ligation was performed with good long‐term outcome. Literature on the subject is reviewed. . (J Card Surg 2010;25:522‐523)     

Diaphragmatic Rupture with Cardiac Tamponade

Intrapericardial herniation of abdominal viscera following blunt abdominal trauma is rare. Wc have been able to find only nine reported cases. Six of these were finally diagnosed after a long delay, ranging from a year to 23 years. Three were diagnosed within three months of the original injury, but in these patients, the investigations were initiated following an abnormal chest skiagram. We wish to report a unique case in which a traumatic intrapericardial hernia presented as an acute cardiac tamponade within 48 hours of injury     

Primary Cardiac Liposarcoma Causing Cardiac Tamponade: Report of a Case

The intracardiac growth and extension of liposarcoma was observed in a 60-year-old woman. The epicardial tumor was identified to originate from the anterior wall of the right ventricle. She initially showed symptoms associated with cardiac tamponade. A surgical operation was performed but it resulted in incomplete resection due to massive invasion and dissemination. The recurrence of the tumors led to congestive heart failure. Finally, she died of heart failure and liver dysfunction as a result of tumor metastasis and invasion. An autopsy detected the primary cardiac liposarcoma. Only a few cases of cardiogenic liposarcoma have so far been reported. A further elucidation of cardiac liposarcoma could reveal mechanisms of the disease, and thus contribute to development of complementary therapies after surgical intervention.     

心脏介入术中并发急性心脏压塞的观察与护理

对介入术中并发急性心脏压塞的9例患者通过严密观察,及时进行急救处理.结果均抢救成功,病情得到满意控制.提示在心脏介入术中,全面协助医生早期诊断,积极加强术前、术中及术后护理干预是急性心脏压塞抢救成功的关键.     

心脏介入术中并发急性心脏压塞的观察与护理

对介入术中并发急性心脏压塞的9例患者通过严密观察，及时进行急救处理。结果均抢救成功，病情得到满意控制。提示在心脏介入术中，全面协助医生早期诊断，积极加强术前、术中及术后护理干预是急性心脏压塞抢救成功的关键。     

Enteritis Cystica Profunda Presenting as Ileoileal Intussusception in a Child: Report of a Case

We report the case of a 3-month-old male infant with small bowel intussusception caused by enteritis cystica profunda (ECP). The baby was admitted because he was refusing to feed, and was passing redcurrant jelly -like stools. A palpable mass was identified, and abdominal ultrasonography showed a mass with a lumen and lumen appearance. We performed laparotomy and resected the segment of bowel containing the mass. The resected segment had enteritis cystica profunda, which was considered to have precipitated the intussusception. A review of the English medical literature revealed only three other cases of children with similar symptoms in the last 30 years.     

Fatal Cardiac Tamponade in Malarial Acute Renal Failure

Uremic hemorrhagic pericarditis occurs much less frequently in acute than in chronic renal failure, but when it does, it is a potentially fatal complication. The possibility of hemorrhagic pericarditis and cardiac tamponade should be considered in patients with acute renal failure and acute hemodynamic instability. This study reports a case of falciparum malaria complicated by acute renal failure that developed fatal cardiac tamponade in the recovery phase of acute renal failure.