Posttraumatic tension pneumopericardium

Hernández-Luyando, L.; Heras, E; Calvo, J. Jiménez; López, Constancio Medrano; Puente, H De La

doi:10.1016/s0735-6757(97)90186-8

Cited by 9 publications

(5 citation statements)

References 11 publications

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“…31 Pulmonary volutrauma during IPPV and other causes of increased intra-alveolar pressure can result in alveolar air reaching the pericardium. [32][33][34][35][36] This occurs with the greatest frequency in ventilated neonates and is associated with a high mortality. 5,32,37 (The mechanisms of pneumomediastinum in blunt chest trauma probably include all three aforementioned mechanisms.…”

Section: Discussionmentioning

confidence: 99%

“…5,32,37 (The mechanisms of pneumomediastinum in blunt chest trauma probably include all three aforementioned mechanisms. 36,38,39 ) The process whereby volutrauma causes air to reach the mediastinum ( Figure 2) has been termed the "Macklin effect". 1 The pathophysiology includes alveolar rupture followed by air dissection along bronchovascular sheaths to the mediastinum.…”

Section: Discussionmentioning

confidence: 99%

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Pneumopericardium:two case reports and a review

Visser

Heine

Levin

et al. 2008

Southern African Journal of Anaesthesia and Analgesia

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Pneumopericardium, and especially tension pneumopericardium, are relatively rare consequences of penetrating, blunt or iatrogenic injury. Despite its rarity and the compressibility of air, pneumopericardium can result in life threatening cardiac tamponade. We present two recent cases of this rare condition with divergent aetiologies from which lessons can be learned. The pathophysiology, diagnosis and treatment of pneumopericardium are reviewed.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pneumopericardium:two case reports and a review

Visser

Heine

Levin

et al. 2008

Southern African Journal of Anaesthesia and Analgesia

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“…Several mechanisms have been proposed to explain the development of tension pneumopericardium after chest trauma. 6 These mechanisms include: (1) Increased intra-alveolar pressure rupturing the alveolar walls and so allowing air to dissect the peribronchialvascular sheaths and enter the mediastinum. (2) Positive-pressure ventilation forcing air along the perivascular sheaths into the pericardium.…”

Section: Discussionmentioning

confidence: 99%

Tension pneumopericardium following a traffic accident

et al. 2007

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“…26) [70]. More rarely, we can see pneumopericardium, which, if large, may also result in cardiac tamponade [71]. Herniation of the heart is a serious complication of traumatic rupture of the pericardium [72].…”

Section: Heart and Pericardium Injuriesmentioning

confidence: 99%

Multidetector computed tomography of chest trauma: indications, technique and interpretation

2012

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BackgroundChest traumas are a significant cause of mortality and morbidity, especially in the younger population.MethodsDiagnostic imaging plays a key role in their management. Multidetector computed tomography (MDCT) is the most important imaging method in this field. Its advantages include especially high speed and high geometric resolution in any plane.ResultsThe method allows us to view large parts of the body with minimal motion artifacts and to create accurate multiplanar and three-dimensional (3D) reformations, which make the diagnosis significantly more accurate. Because of its advantages MDCT has become the first-choice method in high-energy traumas.ConclusionThis article summarises the position of MDCT in the diagnostic algorithm of chest injuries, technical aspects of the examination and imaging findings in traumas of the individual chest compartments.Teaching Points• Diagnostic imaging plays a key role in the management of high-energy chest trauma.• MDCT is the most important imaging method in this kind of injury, as detailed information can be acquired in a short acquisition time.• Multiplanar and three-dimensional (3D) reformattings make the diagnosis significantly more accurate.

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Posttraumatic tension pneumopericardium

Cited by 9 publications

References 11 publications

Pneumopericardium:two case reports and a review

Pneumopericardium:two case reports and a review

Tension pneumopericardium following a traffic accident

Multidetector computed tomography of chest trauma: indications, technique and interpretation

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