Pericardial Rupture and Chronic Subluxation of the Heart: A Case Report

作     者：Pedram Rajabifard Anurag Agarwal Peter Skillington Pedram Rajabifard;Anurag Agarwal;Peter Skillington

作者机构：Department of Cardiothoracic Surgery Royal Melbourne Hospital Victoria Australia 

出 版 物：《World Journal of Cardiovascular Surgery》 (心血管外科国际期刊（英文）)

年 卷 期：2021年第11卷第9期

页      面：75-81页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Pericardial Rupture Pericardium Trauma Cardiac Trauma 

摘      要：Background: Pericardial rupture is a rare diagnosis, usually occurring secondary to high energy blunt force trauma, which can result in subluxation of the heart. Aim: To determine a suitable method for repair of a pericardial defect post traumatic pericardial rupture. Case: We present a 55-year-old male who was found to have a large pericardial defect intra-operatively while undergoing an elective Ross procedure. The defect was repaired with a Gore-Tex membrane. The patient underwent revision sternotomy and repair of the pericardium due to inadequate laxity of the repaired pericardium resulting in hemodynamic instability. Conclusion: Synthetic membranes, such as Gore-Tex membranes, can be used successfully for repair of large pericardial defects but care must be taken to prevent undue tension secondary to taut repair, resulting in hemodynamic compromise.