Cardiac Tamponade due to Fatal Pneumopericardium after Commercial Flight: Transportation of a Premature Infant with Chronic Lung Disease

Wang, Lai Shuan; Cheng, Guo; Chen, Chao; Cao, Yun

doi:10.1093/tropej/fms047

Cited by 2 publications

(4 citation statements)

References 3 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Due to its rare nature, pneumopericardium in children has previously been discussed only in the context of case reports and therefore data on epidemiology are limited. The first description of pneumopericardium appears in an article by Bricheteau in 1844 and isolated cases have been described ever since . Our review is a synthesis of the available evidence and suggests that patients in the first month of life and children undergoing cardiothoracic or abdominal surgery, or with a previous history of hematological disease, and presenting with isolated pneumopericardium are at higher risk of tension pneumopericardium, which presents with a higher mortality compared with patients with other air leak syndromes.…”

Section: Discussionmentioning

confidence: 86%

See 1 more Smart Citation

Nontraumatic tension pneumopericardium in nonventilated pediatric patients: a review

et al. 2019

View full text Add to dashboard Cite

Background and Aims: Pneumopericardium is a rare air leak syndrome caused by the abnormal presence of air in the pericardial sac, with a high risk of morbidity and mortality. It is clinically divided into nontension and tension pneumopericardium, with the latter resulting in a decreased cardiac output and circulatory failure. There are limited data regarding nontraumatic pneumopericardium in nonventilated pediatric patients. Therefore, we aimed to describe a case of tension pneumopericardium and review the available literature. Methods: Case report and literature review of nontraumatic pneumopericardium in nonventilated pediatric patients. Results: A 2‐month‐old infant developed cardiac tamponade secondary to tension pneumopericardium 11 days after cardiac surgery promptly resolved with pericardium drainage. We reviewed the literature on this topic and retrieved 50 cases, of which 72% were nontension whereas a minority were tension pneumopericardium (28%). Patients with tension pneumopericardium were mostly neonates (35.7% vs 22.2%), presented with an isolated air leak (64.3% vs 36.1%), and had a history of surgery (28.6% vs 8.3%) or hematological disease (28.6% vs 11.1%). In all nontension cases, treatment was conservative, whilst in all other cases, pericardiocentesis/pericardium drainage was carried out. There was a high survival rate (86.0%), which was lower in patients with tension pneumopericardium (71.4% vs 91.6%). Conclusions: Pneumopericardium is a rare condition with a higher mortality rate in patients with tension pneumopericardium, which requires immediate diagnosis and treatment. In nonventilated patients, tension pneumopericardium occurred more frequently in neonates, as an isolated air leak, and in those with a history of surgery or hematological disease.

show abstract

Section: Discussionmentioning

confidence: 86%

“…Tension pneumopericardium affects only a minor percentage of patients but results in significant hemodynamic instability . There are very limited data available on nontraumatic pneumopericardium in pediatric patients who are nonventilated …”

Section: Introductionmentioning

confidence: 99%

Nontraumatic tension pneumopericardium in nonventilated pediatric patients: a review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…In studies, no relationship between age, gender, tumor type, lymph node metastasis, pleural fluid, dis- 6) reported that cytology of pericardial fluid did not have an effect on the lifetime in non-small cell lung cancer cases that developed tamponade. Video assisted thorascopic surgery (VATS) can only be performed in hemodynamically stable patients because it requires only lung anesthesia (7). When procedure is performed laparoscopically, great caution should be given in the opening of pericardium with cautery.…”

Section: Discussionmentioning

confidence: 99%

“…Serious arrhythmia may develop. Intraabdominal pressure should be lowered when pericardium is opened in order to prevent the development of tamponade (7). It is reported that windows with diameters less than 3 cm, will close quickly, approximately in a year due to adhesion in the liver.…”

Section: Discussionmentioning

confidence: 99%

Surgical treatment of cardiac tamponade developed in two patients with terminal stage lung cancer

Destan

Özcan

2020

Sanamed

View full text Add to dashboard Cite

Introduction: Although tamponade due to pericardial effusion that develops in advanced stage lung cancer is rare, it is a life threatening complication. Case report: 59 and 72 years old 2 female patients diagnosed with cardiac tamponade were hospitalized in Cardiology Clinic of Balaekesir State Hospital. Massive pericardial effusion that caused diastolic collapse of right ventricle was detected in their echocardiographies. Inoperable lung cancer was diagnosed as a result of bronchoscopy performed due to pathologies observed in their radiograms. Despite repeated pericardiocentesis, fluid continued to accumulate rapidly. Hence, pericardioperitoneal window was formed through subxifoid route to obtain continuous drainage in both patients. Significant pericardial effusion didn't develop in echocardiographies in the 2nd and the 6th month post-operative follow-ups. Conclusion: Subxiphoid pericardioperitoneal window is a simple, safe and effective surgical procedure. It may be performed in some patients with malignant tamponade.

show abstract

Cardiac Tamponade due to Fatal Pneumopericardium after Commercial Flight: Transportation of a Premature Infant with Chronic Lung Disease

Cited by 2 publications

References 3 publications

Nontraumatic tension pneumopericardium in nonventilated pediatric patients: a review

Nontraumatic tension pneumopericardium in nonventilated pediatric patients: a review

Surgical treatment of cardiac tamponade developed in two patients with terminal stage lung cancer

Contact Info

Product

Resources

About