Rupture of the pericardium presenting as postpericardial trauma syndrome late after blunt chest injury

Clinical Cardiology
M KyriakidisP Toutouzas

Abstract

A 40-year-old man presented with a clinical picture of postpericardial trauma syndrome six weeks after blunt injury to the chest. Posttraumatic pericardial rupture was diagnosed at exploratory thoracotomy. The presence of aortic regurgitation due to a previously undiagnosed congenital sinus of Valsalva aneurysm complicated the clinical picture. To our knowledge this is the first report of postpericardial trauma syndrome associated with pericardial rupture after blunt chest injury. It emphasizes the high index of suspicion required for diagnosis of pericardial rupture, a condition with potentially lethal complications.

References

Feb 12, 1983·British Medical Journal·J Bancewicz, D Yates
Aug 1, 1983·The British Journal of Radiology·E J Roebuck, J Minford
Nov 1, 1981·Thorax·A F Mackintosh, H A Fleming
Jan 1, 1959·A.M.A. Archives of Internal Medicine·W DRESSLER

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Citations

Mar 12, 2008·The Journal of Trauma·Thorsten LeibeckeJuergen Rademaker
Mar 1, 1995·Journal of Accident & Emergency Medicine·A J Levine, F J Collins
Jul 18, 2006·Current Surgery·Kullada O Pichakron, Jon Perlstein

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