Sonographic diagnosis of blunt trauma causing delayed hemopericardium and cardiac tamponade.

Sen, Indrani; Raji, Venkatachalam; Kalyani, Nityanandan; Seeniraj, Kitchappa; Vijayalakshmi, Srinivasan

doi:10.7863/jum.1991.10.5.291

Cited by 13 publications

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“…If the accumulation of the blood was slow or if the rupture did not occur acutely, large visible clots may not be seen because defibrination may have occurred as a result of fibrinolysis 17,18 . In addition, in human patients with hemopericardium secondary to traumatic atrial rupture, it is uncommon for a thrombus to be visualized within the pericardial space with echocardiography 19,20 . Finally, a thrombus in the area of the rupture may form on the surface of the endocardium within the left atrium rather than on the epicardium.…”

Section: Discussionmentioning

confidence: 99%

Left atrial rupture in dogs: 14 cases (1990–2005)

Reineke

Burkett

Drobatz

2008

J Vet Emergen Crit Care

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Objective: To describe the clinical parameters, treatment, and prognosis of dogs with left atrial rupture secondary to chronic mitral valve insufficiency. Design: Retrospective study. Setting: University referral hospital. Animals: 14 dogs with left atrial rupture. Interventions: None. Measurements and main results: Mixed breed dogs (n=6, 43%) and Shetland Sheepdogs (n=3, 21%) were most commonly affected. The median age was 12 years (range 5.8–18 y). The median weight was 11 kg (range 4–30 kg). Eight dogs had been previously diagnosed with chronic valvular disease. The most common presenting complaints included collapse (13/14), cough (9/14), and dyspnea (8/14). Four dogs were presented in either respiratory or cardiac arrest. Pericardial effusion was present in 13 dogs. The median left atrium:aortic outflow ratio was 2.66 (range 1.66:1–5.52:1). Pericardiocentesis was performed to alleviate tamponade in 3 dogs. Five dogs were discharged from the hospital, 3 of which were euthanized within 35 days of initial diagnosis for recurrence of clinical signs (n=2) and for hematochezia and lethargy (n=1). Five dogs were euthanized while in the hospital for a variety of reasons including DIC, progressive azotemia, collapse and recurrence of pericardial effusion, or possible seizure episode. Conclusions: Although rare, left atrial rupture resulting in pericardial effusion should be considered in older small‐ to medium‐sized dogs presenting with collapse, cough, and dyspnea. The overall prognosis appears poor.

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Section: Discussionmentioning

confidence: 99%

Left atrial rupture in dogs: 14 cases (1990–2005)

Reineke

Burkett

Drobatz

2008

J Vet Emergen Crit Care

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“…9 Clearly, this latter event is expected with major traumas, as the high intensity of impact generates serious damage to the heart that can lead to the development of effusion or even the breaking of the ventricular wall. However, although to a lesser extent, even minor traumas may determine cardiac tamponade as indicated by this and other 11 cases 4,9,[10][11][12][13][14][15][16][17][18][19] that have been summarized in Table 1. Notably, there is no direct timing correlation between the traumatic event and cardiac tamponade, that is, the latter occurring from few hours up to months ( Table 1).…”

Section: Discussionmentioning

confidence: 82%

Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

Guarino

Bologna

Giorgi

et al. 2020

Hong Kong j. emerg. med.

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Haemopericardium with cardiac tamponade following minor blunt trauma is a rare, life-threatening condition. The diagnosis of cardiac tamponade as well as therapeutic management may be delayed, since the link between trauma and illness is often overlooked. We report the case of an old woman who developed a relatively delayed cardiac tamponade due to an otherwise minor blunt chest trauma following syncope.

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“…1 " 7 These injuries often result in hemopericardium and cardiac tamponade. 4 " 6 While it has been stated that cardiac trauma occurs infrequently in children, recent studies have suggested that contusion may be more frequent than previously thought. 8 Most of the injuries are due to major trauma produced in motor vehicle accidents.…”

Section: Discussionmentioning

confidence: 99%

Delayed hemopericardium due to trivial chest trauma

1998

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We report two cases of hemopericardium occurring in seven-month-old and 12-year-old boys, who had no history of major trauma. The possible cause of the hemopericardium for the infant was falling from a bed which was 75 cm high two weeks prior to the admission. The 12-year-old boy had fallen from a chair and damaged his chest 4 weeks previously. Their coagulation tests were all normal. By means of pericardiotomy, we drained 120 ml and 1200 ml of blood, respectively. The boys have now been well over follow-up periods of 24 and 18 months, respectively.

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Sonographic diagnosis of blunt trauma causing delayed hemopericardium and cardiac tamponade.

Cited by 13 publications

References 0 publications

Left atrial rupture in dogs: 14 cases (1990–2005)

Left atrial rupture in dogs: 14 cases (1990–2005)

Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

Delayed hemopericardium due to trivial chest trauma

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