1/175. cardiac tamponade and death from intrapericardial rupture [corrected] of sinus of valsalva aneurysm.A 35-year-old woman presented with dyspnea and chest pain. She had a large aneurysm of the non-coronary sinus of valsalva. Before her scheduled urgent surgery, the patient collapsed and died of cardiac tamponade secondary to intrapericardial rupture of the aneurysm. We would advocate urgent repair of this type of lesion to prevent such an outcome. We are aware of no other specific reports addressing extracardiac rupture of non-coronary cusp aneurysms [corrected].- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
2/175. Atrial tamponade causing acute ischemic hepatic injury after cardiac surgery.A patient developed late cardiac tamponade after aortic valve replacement and coronary artery bypass grafting. nausea and dramatic elevations of serum aminotransferases were the initial clinical manifestations of cardiac tamponade. Severe acute ischemic hepatic injury secondary to isolated compression of both atrial cavities by two loculated thrombi was diagnosed.- - - - - - - - - - ranking = 6.3191359416649keywords = injury (Clic here for more details about this article) |
3/175. Central venous injuries of the subclavian-jugular and innominate-caval confluences.Injuries to the central venous system can result from penetrating trauma or iatrogenic causes. Injuries to major venous confluences can be particularly problematic, because the clavicle and sternum seriously limit exposure of the injury site. We report our institution's experience with central venous injuries of the subclavian-jugular and innominate-caval venous confluences. Significant injuries of the subclavian-jugular venous confluence frequently result from penetrating trauma, while injuries to the innominate-caval confluence are usually catheter-related. Median sternotomy provides adequate exposure of the innominate-caval confluence, while exposure of the subclavian-jugular venous confluence requires extension of the median sternotomy incision into the neck and resection of the clavicle. The literature is reviewed.- - - - - - - - - - ranking = 1.263827188333keywords = injury (Clic here for more details about this article) |
4/175. Repair of intramural hematoma of the ascending aorta without graft interposition.A 68-year-old woman was admitted to hospital with a one-hour history of chest pain and syncopal episode. Transesophageal echocardiography showed an intramural aortic hematoma with cardiac tamponade. The patient underwent repair of the ascending aorta without graft interposition (resection and end-to-end anastomosis). The patient had an uneventful postoperative course and the 38-month follow-up was event-free. This case report shows that end-to-end anastomosis in patients with intramural hematoma and absence of intimal tearing, may provide good long-term results.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
5/175. cardiac tamponade as an unusual presentation of advanced breast cancer in pregnancy.BACKGROUND: breast cancer is the most commonly diagnosed cancer in pregnancy. Though the prognosis by stage is not different from that in nonpregnant women, it is more likely to present at an advanced stage in pregnancy. CASE: A 28-year-old primigravida presented with dyspnea and pleuritic chest pain. The workup revealed cardiac tamponade. pericardiocentesis and subsequent pericardial window were performed. Cytology of the pericardial fluid revealed poorly differentiated adenocarcinoma. ultrasonography displayed a right breast mass, and biopsy identified it as the primary source of the cancer. CONCLUSION: cardiac tamponade is an unusual presentation of advanced breast cancer. To the best of our knowledge, it has not previously been described as occurring in pregnancy.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
6/175. Diaphragmatic rupture with cardiac tamponade.Intrapericardial herniation of abdominal viscera following blunt abdominal trauma is rare. We have been able to find only nine reported cases. Six of these were finally diagnosed after a long delay, ranging from a year to 23 years. Three were diagnosed within three months of the original injury, but in these patients, the investigations were initiated following an abnormal chest skiagram. We wish to report a unique case in which a traumatic intrapericardial hernia presented as an acute cardiac tamponade within 48 hours of injury.- - - - - - - - - - ranking = 3.527654376666keywords = injury, chest (Clic here for more details about this article) |
7/175. Pericardio-diaphragmatic rupture: five new cases and literature review.This report adds five new cases to the world literature on pericardio-diaphragmatic rupture (PDR). Five of 48 (10.4%) consecutive cases of traumatic diaphragmatic rupture (TDR) seen by a single surgeon over a 22-year period were PDR. These rare cases include a case associated with air bag deployment, a case of double rupture involving both the pericardium and left diaphragm, and a case resulting from penetrating trauma. This series suggests that PDR may be under-reported as a percentage of TDR. Only 65 cases of PDR have been reported previously. review of the world literature on PDR is included. Anatomic factors, mechanisms of injury, differential diagnosis, diagnostic techniques, and treatment considerations for PDR are discussed.- - - - - - - - - - ranking = 1.263827188333keywords = injury (Clic here for more details about this article) |
8/175. cardiac tamponade as the first clinical manifestation of metastatic adenocarcinoma of the lung.A 62-year-old woman presented in the emergency department with new onset of dyspnea and clinical signs of cardiac tamponade. She had a history of cigarette smoking and a family history of adenocarcinoma, pancreatic and breast carcinoma. An emergency two-dimensional echocardiogram confirmed the diagnosis of cardiac tamponade. Therapeutic pericardiocentesis resulted in prompt relief. Cytology confirmed malignant glandular cells, consistent with a metastatic adenocarcinoma. Computerized chest tomography confirmed pulmonary involvement.- - - - - - - - - - ranking = 1keywords = chest (Clic here for more details about this article) |
9/175. Penetrating cardiac injury without tamponade.A case of unsuspected penetrating cardiac injury is presented. It was recognised by the presence of bleeding into peritoneal cavity even after the source of bleeding from intra-abdominal organs had been stopped. It highlights the importance of high index of suspicion of associated cardiac injury in high epigastric penetrating injury.- - - - - - - - - - ranking = 8.8467903183309keywords = injury (Clic here for more details about this article) |
10/175. cardiac tamponade due to post-cardiac injury syndrome in a patient with severe haemophilia A and hiv-1 infection.An 18-year-old man with severe haemophilia A (FVIII:C < 1%) and human immunodeficiency virus 1 (hiv-1) infection was admitted to the hospital with fever and chest pain for 7 days. Eight weeks prior to his admission he had an accident for which he underwent, at another hospital, clinical and laboratory examination that revealed bone fractures of the nose cavity, and he was given factor viii concentrates for seven days due to nasal bleeding. On admission, chest roentgenogram showed a large cardiac silhouette and echocardiography confirmed the presence of a large quantity of pericardial fluid. A presumptive diagnosis of the post-cardiac injury syndrome was made and he was given anti-inflammatory drugs plus infusion of recombinant factor viii concentrate (35 units kg-1 b.i.d.). On the seventh day he exhibited cardiac tamponade for which he underwent subxiphoid pericardiotomy with drainage of approximately 1500 mL of bloody exudate. He had an uncomplicated recovery and 10 days later he left hospital. He was given a continuous prophylactic treatment of 15 units kg-1 of recombinant FVIII every 2 days for 6 months, and 30 months after this episode the patient is free of any symptom.- - - - - - - - - - ranking = 8.3191359416649keywords = injury, chest (Clic here for more details about this article) |
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