Spontaneous resolution of pneumopericardium in a preterm infant

Sidana, Vishal; Rajasekaran, Rathnapratheep; Kumar, Jogender; Mukhopadhyay, Kanya

doi:10.1136/bcr-2019-230339

Cited by 3 publications

(2 citation statements)

References 7 publications

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“…Chest CT scan of PPC usually shows parietal pericardium visible as a thin line and a heart surrounded by airdensity. (11,12) Studies show that prenatal corticosteroid application and postnatal surfactant therapy lower the risk of neonatal hyaline membrane disease and therefore air leak syndrome as well. Pneumopericardium in neonates is treated conservatively, unless a patient presents with lowering of arterial blood pressure, muffled heart sounds or rise of jugular venous pressure (Beck's triad), which indicate life threatening cardiac tamponade.…”

Section: Discussionmentioning

confidence: 99%

“…PPC therefore requires a close monitoring of oxygen saturation, heart rate, blood pressure and radiographical changes. (12)(13)(14) Should signs of cardiac tamponade (Beck's triad) and cardiovascular collapse occur, patient should be immediately treated, usually by needle aspiration. Subxiphoid window is a recommended location and the procedure should be followed by antibiotics to prevent infection.…”

Section: Discussionmentioning

confidence: 99%

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Iatrogenic Pneumopericardium in a Male Full-Term Newborn with Spontaneous Pneumothorax

Jevtić

Prodanovic

Savić

et al. 2022

Serbian Journal of Experimental and Clinical Research

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Neonatal pneumopericardium, a collection of air in the pericardial sac, is less common form of air leak syndrome, but unfortunately with high mortality rate. We report a rare case of male fullterm newborn who soon after birth presented with respiratory distress. Chest radiograph showed spontaneous bilateral pneumothorax after which a chest drain was placed between anterior and midaxillary line in the 5 th right intercostal space. The infant soon presented with tachypnea, dyspnea, muffled heart sounds, acidosis indicating cardiorespiratory worsening. On chest radiograph ''Halo'' sign appeared indicating pneumopericardium. We believe that spontaneous reposition of a chest drain damaged the pericardial sac which combined with ventilation mechanism (''Macklin effect'') most likely led to pneumopericardium. After partial chest drain extraction the infant showed signs of improvement, but had to be closely monitored due to risk of tension pneumopericardium. Careful thoracal drain placement and fixation is crucial to prevent iatrogenic pneumopericardium, which can lead to deadly tension pneumopericardium.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Iatrogenic Pneumopericardium in a Male Full-Term Newborn with Spontaneous Pneumothorax

Jevtić

Prodanovic

Savić

et al. 2022

Serbian Journal of Experimental and Clinical Research

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Something is up in the air: pneumothorax and pneumopericardium in a 29-week preterm infant

Meyer,

Ruffing,

Geipel

et al. 2023

Wien Med Wochenschr

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SummaryThis report highlights the early and unusual detection of a pneumopericardium by echocardiography prior to potential development of cardiocirculatory compromise. It is important to consider pneumopericardium into the differential diagnosis when difficulties arise in the visualization of the heart by conventional echocardiography. Pneumopericardium is associated with a high mortality rate and may be effectively treated by immediate insertion of a pericardial catheter.

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Characterizing airway obstruction syndrome in preterm neonates: A neonatology service study

Rivero-Morales,

Rodriguez-Guevara,

Aríz-Milian

et al. 2024

Journal of Neonatal Nursing

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Spontaneous resolution of pneumopericardium in a preterm infant

Cited by 3 publications

References 7 publications

Iatrogenic Pneumopericardium in a Male Full-Term Newborn with Spontaneous Pneumothorax

Iatrogenic Pneumopericardium in a Male Full-Term Newborn with Spontaneous Pneumothorax

Something is up in the air: pneumothorax and pneumopericardium in a 29-week preterm infant

Characterizing airway obstruction syndrome in preterm neonates: A neonatology service study

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