Extrapericardial cardiac compression syndrome

Swan, Paul J.; Wu, Fred; Dahle, Thorn G.; Duprez, Daniel

doi:10.1016/j.ijcard.2005.09.037

Cited by 4 publications

(4 citation statements)

References 16 publications

(12 reference statements)

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“…The symptoms may be exacerbated by extrapericardial cardiac compression syndrome [5]. In this case, in addition to severe pericardial calcification, cardiac motion may have been affected by massive ascites and 'intra' pericardial structure changes, which were detected in multiplanar reconstruction images from the sagittal and long-axis views of the left ventricle and cut-plane volume rendered images from the anterior-superior view.…”

Section: Etiology and Calcification And Its Clinical Featuresmentioning

confidence: 87%

–Heart in an eggshell– Eggshell appearance calcified constrictive pericarditis demonstrated by three-dimensional images of multislice computed tomography

Kameda

Funabashi

Kawakubo

et al. 2007

International Journal of Cardiology

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Section: Etiology and Calcification And Its Clinical Featuresmentioning

confidence: 87%

–Heart in an eggshell– Eggshell appearance calcified constrictive pericarditis demonstrated by three-dimensional images of multislice computed tomography

Kameda

Funabashi

Kawakubo

et al. 2007

International Journal of Cardiology

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“…In addition, circulation had probably been already disturbed by the right‐sided pneumothorax, as well as a possible pneumomediastinum (the left rib fractures and the lung injuries on the side with the pleural adhesions, along with the subcutaneous emphysema). This gave rise to so‐called extrapericardial tamponade; that is, the increased intrapleural pressure transmitted to the pericardial space, impairing ventricular filling, and thus mimicking the hemodynamic abnormalities of cardiac tamponade . Hence, this double circulation disturbance of impaired ventricular filling due to the pneumothorax and the impaired coronary filling due to the subepicardial hematoma surely led to the victim's quick, albeit not instant death.…”

Section: Discussionmentioning

confidence: 99%

An Uncommon Accident and Unusual Cause of Death—A Fatal Domestic Ram Attack

Živković

Nikolić

2013

Journal of Forensic Sciences

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Domestic animal attacks are not common; their fatal attacks are even rarer. Herein, a case of a 78-year-old woman attacked by a ram is presented. She sustained multiple head and chest injuries. The autopsy findings and the inspection of the scene revealed that the fatal aortic injury had been caused by direct force from the front, which subsequently caused a powerful anteroposterior chest compression, resulting in an incomplete tear by flexion and compression of the aortic arch. The aortic dissection propagated in both an ante- and retrograde direction, with intact adventitia. However, due to a rise in pressure in the formed false lumen, dissection propagated downward to the base of the heart, and further into the subepicardial adipose tissue, forming a subepicardial hematoma. This hematoma gradually compressed the proximal sections of the coronary arteries, impairing their filling, and producing a myocardial ischemia. In addition, circulation had probably been already disturbed by the right-sided pneumothorax, as well as a possible pneumomediastinum.

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“…1 Far more rarely, cardiac tamponade can be caused by extrinsic compression. 2 Traumatic pericardial effusions typically occur rapidly and present as acute hemodynamic compromise in the setting of trauma. Medical causes of tamponade can be much more insidious given the usually slower accumulation of pericardial fluid.…”

Section: Diagnosismentioning

confidence: 99%

“…Pericardial tamponade occurs when there is an impairment of ventricular filling due to atrial compression by pericardial fluid or blood 1 . Far more rarely, cardiac tamponade can be caused by extrinsic compression 2 . Traumatic pericardial effusions typically occur rapidly and present as acute hemodynamic compromise in the setting of trauma.…”

Section: Diagnosismentioning

confidence: 99%