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Thoracoscopic diagnosis of traumatic pericardial rupture with cardiac hernia:A case report

World Journal of Clinical Cases 2021年第16期9卷 4001-4006页

作者： Yong-Yong Wu Zhong-Liang He Zi-Ying Lu Department of Cardiothoracic Surgery Tongde Hospital of Zhejiang ProvinceHangzhou 310000Zhejiang ProvinceChina Department of General Surgery Tongde Hospital of Zhejiang ProvinceHangzhou 310000Zhejiang ProvinceChina

BACKGROUND pericardial rupture caused by blunt chest trauma is rare in clinical *** of its atypical clinical symptoms,and because surgeons are often unfamiliar with the clinical and radiological manifestations of the injury,preoperative diagnosis is difficult;it is easily misdiagnosed and causes serious *** SUMMARY A 60-year-old man,previously healthy,was transported to the emergency room after falling from a great *** arrival,his vital signs were *** and echocardiography were performed,and there was no sign of cardiac injury or *** and abdomen computerized tomography revealed pneumopericardium,hemopneumothorax,lung contusion,multiple rib fractures on the right side(Figure 1),and right scapula and clavicle *** was admitted to the inpatient department for further observation after tube *** next day,the patient suddenly experienced rapid arrhythmia(the ventricular rate reached 150-180 beats/min)when turning onto his right side,accompanied by a blood pressure drop to 70/45 mm Hg and a chief complaint of *** was performed urgently,and a large vertical tear(8 cm×6 cm)was found in the *** defect was successfully repaired using a heart Dacron *** postoperative condition was uneventful without any fluctuations in vital signs,and he was transferred to the orthopedics department for further surgery on postoperative day *** Although the possibility of pericardial rupture combined with cardiac hernia is extremely low,it is one of the causes of cardiogenic shock following blunt ***,clinicians need to be more familiar with its characteristic manifestations and maintain a high degree of vigilance against such injuries to avoid disastrous consequences.

关键词： pericardial rupture Cardiac hernia Blunt chest trauma Thoracoscope Case report

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pericardial rupture and Chronic Subluxation of the Heart: A Case Report

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World Journal of Cardiovascular Surgery 2021年第9期11卷 75-81页

作者： Pedram Rajabifard Anurag Agarwal Peter Skillington Department of Cardiothoracic Surgery Royal Melbourne Hospital Victoria Australia

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 per... 详细信息

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.

关键词： pericardial rupture Pericardium Trauma Cardiac Trauma

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Undetected traumatic cardiac herniation like playing hide-and-seek-delayed incidental findings during surgical stabilization of flail chest:A case report

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World Journal of Clinical Cases 2022年第36期10卷 13396-13401页

作者： Su Young Yoon Jin-Bong Ye Junepill Seok Department of Thoracic and Cardiovascular Surgery Chungbuk National University HospitalCheongju 28644South Korea Department of Trauma Surgery Chungbuk National University HospitalCheongju 28644South Korea

BACKGROUND Post-traumatic blunt pericardial injury is a rare condition with only a few reported cases which were generally diagnosed during initial examinations upon ***,pericardial injuries not bad enough to dislocate the heart may only cause intermittent electrocardiogram(ECG)changes or be *** SUMMARY In this case,we report a blunt pericardial injury undetected on preoperative transthoracic echocardiography and chest computed *** misjudged intermittent ECG changes and blood pressure fluctuations as minor symptoms resulting from cardiac contusion and did not provide intensive *** pericardial injury was found incidentally during surgical stabilization of rib fractures and was successfully *** Post-traumatic blunt pericardial ruptures should be considered in patients with blunt chest trauma showing abnormal vital signs and ECG changes.

关键词： Cardiac herniation Flail chest Multiple rib fractures pericardial rupture Surgical stabilization of rib fractures Case report

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