Cardiac tamponade after intrapericardial diaphragmatic hernia

Fleyfel, M.; Ferreira, Jorge; H, Linares; Merlier, O.; Harchaoui, A Karim El

doi:10.1093/bja/73.2.249

Cited by 18 publications

(3 citation statements)

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“…Specifically, mechanical ventilation, gastric distension, barium meal, suction applied to chest drainage tubes or aspiration of the hemithorax, coughing on extubation, hyperinflation of the remaining lung, and changes in patient position may facilitate dislocation of the heart through a defect. [8][9][10] Clinical features of cardiac herniation include a sudden onset of low cardiac output and superior vena cava syndrome. These symptoms may be accompanied by severe hypotension, bradycardia or tachycardia, normal or slightly elevated central venous pressure, and sometimes, cardiac arrest.…”

Section: Discussionmentioning

confidence: 99%

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Cardiac Herniation after Intrapericardial Pneumonectomy and Subsequent Cardiac Tamponade

Kiev

Parker

Zhao

et al. 2007

The American Surgeon™

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The first case of postpneumonectomy cardiac herniation was described in 1948. Despite advances in surgical technique and patient care, this very rare, potential surgical catastrophe may still be seen today. We present a similar case to that of the original description, but furthermore accentuated by an additional unsuspected surgical complication. This case involves a 59-year-old African-American man initially treated with radical pneumonectomy to resect an invasive T3 squamous cell lung cancer. After surgical resection, the patient developed both clinical and radiographic manifestations of cardiac herniation. Primary suture repair of the pericardial sac led to subsequent cardiac tamponade necessitating correction with Prolene mesh.

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Section: Discussionmentioning

confidence: 99%

“…11 Definitive therapy for cardiac herniation requires urgent repositioning of the heart into the pericardial sac, followed by repair of the pericardial defect using a patch. 4,7,9 The best material for closure is disputed. Fascia lata is strong; however it requires the creation of an additional wound.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Herniation after Intrapericardial Pneumonectomy and Subsequent Cardiac Tamponade

Kiev

Parker

Zhao

et al. 2007

The American Surgeon™

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“…The most common causes are automobile accidents or falls from a height; such trauma is rarely caused by stabbing or gunshot wounds. A traumatic rupture of the diaphragm, with herniation of the abdominal viscera into the thoracic cavity, is relatively rare, being observed in 3% to 7% of all abdominal or thoracic traumas [1]. The diagnosis can be difficult because of associated injures that are serious in nature, resulting in their proper diagnosis being a persistent problem in trauma centers.…”

Section: Introductionmentioning

confidence: 99%

Post-Traumatic Peritoneopericardial Diaphragmatic Hernia: A Case Report

Szwalbe¹,

Misiak²,

Terlecki³

2017

J Trauma Treat

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The most common cause of traumatic diaphragmatic rupture is blunt or penetrating thoraco-abdominal trauma. The proper diagnosis can be difficult to make due to the non-specific clinical picture. The surgical approach in managing diaphragmatic rupture includes laparotomy, thoracotomy, or both. This article presents a case of a 60-year-old woman with post-traumatic peritoneopericardial diaphragmatic hernia. The study suggests that diaphragmatic injury should be considered in patients with blunt or penetrating thoraco-abdominal trauma.

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Chronic traumatic diaphragmatic hernia with pericardial rupture and associated gastroesophageal reflux

Wright

Reinke

Aye

2005

Hernia

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Major thoracic and abdominal trauma damages the diaphragm 5% of the time. These injuries may be recognized when they occur but often are discovered months later during work up for related symptoms. Typically, the injury is to the left posterolateral aspect of the diaphragm. Rarely, rupture through the central diaphragmatic tendon into the pericardial space occurs and this results in different symptoms than the more common injury. We present the case of a patient who presented with chest pain, near syncopal episodes and refractory gastroesophageal reflux years after he was struck by a car and hospitalized. Radiographic imaging included a chest CT that demonstrated herniation of the transverse colon into the mediastinum. During exploration, a defect in the central diaphragm was found with free communication between the peritoneal and pericardial spaces. In this paper, we review our management of this unusual diaphragmatic hernia and the unique symptoms associated with it.

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Cardiac tamponade after intrapericardial diaphragmatic hernia

Cited by 18 publications

References 0 publications

Cardiac Herniation after Intrapericardial Pneumonectomy and Subsequent Cardiac Tamponade

Cardiac Herniation after Intrapericardial Pneumonectomy and Subsequent Cardiac Tamponade

Post-Traumatic Peritoneopericardial Diaphragmatic Hernia: A Case Report

Chronic traumatic diaphragmatic hernia with pericardial rupture and associated gastroesophageal reflux

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