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Giller DB, Martel II, Bizhanov AB, Enilenis II, Giller BD, Shcherbakova GV, Koroyev VV, Kesaev OS. [Tension pneumopericardium as a complication of transsternal transpericardial occlusion of main bronchus stump]. Khirurgiia (Mosk) 2018:106-108. [PMID: 29953108 DOI: 10.17116/hirurgia20186106-108] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Affiliation(s)
- D B Giller
- Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia
| | - I I Martel
- Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia
| | - A B Bizhanov
- Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia
| | - I I Enilenis
- Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia
| | - B D Giller
- Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia
| | - G V Shcherbakova
- Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia
| | - V V Koroyev
- Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia
| | - O Sh Kesaev
- Perelman Chair of Phthisiopulmonology and Thoracic Surgery, Sechenov First Moscow State Medical University of Healthcare Ministry of Russia, Moscow, Russia
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Mohanan Nair KK, Namboodiri N, Banavalikar B, Gopalakrishnan A, Prasad S, Valaparambil A, Tharakan J. Iatrogenic Pneumopericardium After Pericardiocentesis. J Invasive Cardiol 2016; 28:E225-E226. [PMID: 27922814] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
A 65-year-old patient underwent pericardiocentesis for cardiac tamponade after radiofrequency ablation for ventricular tachycardia. Subsequent to stabilization, the patient developed pneumopericardium, which was detected in the catheterization laboratory and managed successfully by pericardial aspiration.
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Affiliation(s)
| | - Narayanan Namboodiri
- Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India - 695011.
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Sasaki H. [Pneumopericardium]. Nihon Rinsho 2007; Suppl 5 Pt 2:415-417. [PMID: 17953028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/25/2023]
Affiliation(s)
- Hideki Sasaki
- Division of Cardiology, Department of Internal Medicine, The Jikei University School of Medicine
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Abstract
We describe a newborn with acute respiratory distress syndrome, subjected to mechanical ventilatory assistance with high level of peak inspiratory pressure (PIP) and positive end expiratory pressure (PEEP), who developed cardiac tamponade due to pneumopericardium. Tension pneumopericardium produces the same physiological derangement as cardiac tamponade secondary to accumulated blood or other fluids. This life-threatening complication demands immediate diagnosis and treatment.
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Affiliation(s)
- Maximo H Trujillo
- Critical Care Units of the Instituto Médico La Floresta and The University Hospital of Caracas, and Laboratory of Interventional Cardiology, Caracas, Venezuela.
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Affiliation(s)
- C A Albrecht
- Division of Cardiolgoy, Department of Medicine, University of Texas Health Center, Houston, USA.
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Muñoz Avila JA, Jiménez Murillo LM, Montero Pérez FJ, Calderón de la Barca Gázquez JM, Berlango Jiménez A, Durán Serantes M, Torres Murillo J. [Pneumopericardium: review of the literature]. Rev Clin Esp 1994; 194:926-8. [PMID: 7800875] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/27/2023]
Affiliation(s)
- J A Muñoz Avila
- Unidad Funcional de Urgencias, Hospital Universitario Reina Sofía de Córdoba
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Taupin JM, Laudinat JM, Fellinger F, Dickele MC, Lemaître C, Elaerts J, Bajolet A. [Spontaneous idiopathic pneumopericardium in young patients. Review of the literature. Apropos of a new case]. Ann Cardiol Angeiol (Paris) 1992; 41:485-8. [PMID: 1298190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Abstract
Spontaneous idiopathic pneumopericardium (SIPP) in young subjects is a rare disorder since, apart from the case described here, only 28 cases have been reported in the literature. It occurs mainly in young adults. The physiopathology of the disorder involves alveolar rupture, as described by Macklin. The symptoms of SIPP are dominated by chest pain, which usually develops suddenly and is combined with dyspnea. Clinical examination is not very helpful, cardiac auscultation detects either pericardial rubbing or a more suggestive metallic sound. Recovery usually occurs without treatment, but there is a risk of long-term recurrence. An unusual complication to be feared is aerial tamponade, which may be life-threatening and calls for emergency draining. The treatment of SIPP involves strict bed-rest, symptomatic treatment of the pain and clinical monitoring.
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Affiliation(s)
- J M Taupin
- Service des Maladies du Coeur et des Vaisseaux, Hôpital Robert Debré, Reims
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Affiliation(s)
- R A Berg
- Department of Pediatrics, Maricopa Medical Center, Phoenix, AZ
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Marouby D, Guyonnet G, Gimbert A, Magne J. [Post-traumatic idiopathic pneumopericardium and pneumoperitoneum]. J Chir (Paris) 1989; 126:24-7. [PMID: 2647776] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
One case of "idiopathic pneumoperitoneum" following closed thoraco abdominal injury, primitively associated with a pneumopericardium is reported. No etiology was discovered about these two aeric effusions. Also it was interesting to compare this experience with literature to know frequency of such association; physiopathologic mechanism responsible and management of the described other cases.
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Affiliation(s)
- D Marouby
- C.C.A. Service de Chirurgie Général, Hôtel Dieu, C.H.R.U. de Clermont-Ferrand
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Lage SG, Bellotti G, Ramires JA, Pileggi F. Pneumopericardium: a novel limitation for thoracic electrical bioimpedance? Crit Care Med 1987; 15:891-2. [PMID: 3621972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
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Abstract
We report the induction of pneumopericardium by forced coughing during coronary arteriography in a 31-year-old male with anterior chest pain. The patient had no underlying disease and pneumopericardium could be reproduced by forced coughing. To our knowledge, there has been no report in the literature of pneumopericardium induced during coronary arteriography.
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Glenski JA, Hall RT. Neonatal pneumopericardium: analysis of ventilatory variables. Crit Care Med 1984; 12:439-42. [PMID: 6370599] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023]
Abstract
Case reports of all infants admitted to the NICU from 1971 to 1982, who developed a pneumopericardium (PPC) while receiving intermittent positive-pressure ventilation, were reviewed in order to determine those variables of assisted ventilation associated with the occurrence of PPC. Of 19 infants seen during the 11-yr period, 16 had respiratory distress syndrome (RDS) and 3 had other forms of severe pulmonary disease. Mean birth weight was 1720 g, gestational age 32 wk, and age at occurrence 59 h. Peak inspiratory pressure (PIP) (mean 32 cm H2O), inspiratory time (IT) (0.74 sec), and mean airway pressure (MAP) (mean 17 cm H2O) were significantly elevated just before occurrence of the PPC, compared with values 6 h previously. PEEP (mean 3.8 cm H2O), ventilator rate (mean 40/min), PaCO2 (mean 41 torr), P(A-a)O2 (mean 443 torr), and inspired oxygen concentration (FIO2, 0.77) were unchanged. MAP was significantly lower (mean 11 cm H2O) 6 h after the event compared with just before (mean 14 cm H2O) in infants who died, suggesting that lowering airway pressure does not improve survival. These data indicate that high PIP, prolonged IT and elevated MAP are associated with the development of PPC. MAP provides a composite of pressure transmitted to the airways and may be the more useful index in preventing barotrauma and pulmonary air leak.
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Hurd TE, Novak R, Gallagher TJ. Tension pneumopericardium: a complication of mechanical ventilation. Crit Care Med 1984; 12:200-1. [PMID: 6697744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
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Reed JR, Thomas WP. Hemodynamics of progressive pneumopericardium in the dog. Am J Vet Res 1984; 45:301-7. [PMID: 6711953] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/21/2023]
Abstract
The hemodynamics of progressive pneumopericardium were studied in 6 anesthetized healthy dogs (with intact thorax). Heart rate, cardiac output, and pericardial and intravascular pressures were recorded. Pressures were measured in the pericardial space by means of a percutaneously introduced, air-filled catheter, and in the right atrium, right ventricle, left atrium, left ventricle, pulmonary artery, and aorta by means of fluid-filled catheters. The gradual increase in mean pericardial pressure up to 11 +/- 2 mm of Hg was associated with increases in heart rate and mean right atrial, mean left atrial, right ventricular end-diastolic, and left ventricular end-diastolic pressures and with decreases in cardiac output and stroke volume, with no change in left ventricular systolic and mean aortic pressures. Critical cardiac tamponade occurred at a pericardial pressure of 12.2 +/- 2.8 mm of Hg, which was produced by 8.7 +/- 1.9 cm3 air/kg of body weight. This was characterized by a sudden marked decrease in heart rate, cardiac output, stroke volume, left ventricular systolic pressure, and mean aortic pressure, and equilibration of mean right atrial, mean left atrial, right ventricular end-diastolic, left ventricular end-diastolic, and pulmonary artery diastolic pressures. These hemodynamic changes were similar to those of experimental pericardial effusion.
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Freudenberg V, Geiger E. [Phenumopericardium and pneumomediastinum depend upon bronchial foreign body (author's transl)]. Klin Padiatr 1978; 190:319-22. [PMID: 566355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
A case with pneumopericardium and pneumomediastinum produced by a bronchial foreign body (pieces of a nut) is reported. The pathomechanism is discussed: In state of check valve the bronchial foreign body produces an interstitial emphysema by rupture of the alveolar membranes in the overinflated lung. The interstitial air travels along the sheaths of the pulmonary blood vessels to the root of the lung, to mediastinum, and to pericardium. In state of stop valve, depending on the inflammatory swelling of the mucosa, the affected lung becomes atelectatic. After removing the foreign body air passage will be free. Other therapeutic measures are not necessary.
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Flöthner R, Doenecke P, Kopper J, Bette L. [Spontaneous pyopneumopericardium as complication of a gastric carcinoma]. Med Welt 1976; 27:1883-6. [PMID: 979615] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
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Abstract
A case history of a patient with unusual injuries following blunt thoracic trauma is presented. There was a pneumopericardium, bilateral tension pneumothoraces and rupture of the thoracic trachea, and the shock lung syndrome developed. Some points which arose in the management of the case are discussed, and it is pointed out that such injuries may be missed and must be considered in all patients with thoracic trauma especially those who do not improve with routine therapy.
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Yeh TF, Vidyasagar D, Pildes RS. Neonatal pneumopericardium. Pediatrics 1974; 54:429-33. [PMID: 4606838] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/11/2023] Open
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Löhrer A. [On the pathogenesis of pneumopericardium in the newborn]. Schweiz Med Wochenschr 1972; 102:1248-51. [PMID: 4559972] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/11/2023]
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