• Journal of Trauma and Injury
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• 제34권3호
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• pp.183-186
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• 2021

Cardiac tamponade is an acute life-threatening condition that predominantly involves the intra-pericardial space; however, an expanding mediastinal hematoma can also sometimes cause cardiac tamponade. Here we describe the case of a 45-year-old male driver in whom a traffic accident resulted in rupture of the left internal thoracic artery (ITA), extra-pericardial hematoma, and sternal fracture. After resuscitation, he was scheduled to undergo angio-embolization to repair the ruptured left ITA, but he suddenly developed cardiac tamponade that required a decompressive sternotomy. Nevertheless, the patient had an uncomplicated recovery, and this case suggests that extra-pericardial cardiac tamponade should be considered as a possible consequence of retro-sternal hematoma due to traumatic ITA rupture.

• Journal of Chest Surgery
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• 제28권11호
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• pp.1049-1053
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• 1995

Although neoplastic involvement of the pericardium is frequently present postmortem, cardiac manifestations before death are uncommon, and cardiac tamponade as the initial presentation of cancer is rare. We are presenting a metastatic pericardial tumor with cardiac tamponade of unknown primary neoplasm. The patient brought to hospital in a state of unconscious. The chest x-ray film showed cardiomegaly with a globular heart shape and right pleural effusion. We underwent an anterior thoracotomy and pericardial window was created. The histopathologic finding of pericardium, pleural and pericardial effusion show a metastatic adenocarcinoma. The patient subsequently received adjuvent radiotherapy and chemotherapy, but he expired on the postoperative 132 day.

• Journal of Chest Surgery
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• 제25권5호
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• pp.562-565
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• 1992

We experienced a case of esophago-pericardial fistula with cardiac tamponade which was treated successfully by pericardial drainage, closure of the fistula and adequate antibiotic therapy. Esophago-pericardial fistula is rare, often fatal and a demanding surgical emergency. We report a case with review of literatures.

• Clinical and Experimental Pediatrics
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• 제49권6호
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• pp.686-690
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• 2006

심장압전을 동반하는 흉막 및 심낭삼출은 신생아, 특히 극소 저출생체중아에서 흔히 시행되는 제대정맥도관의 드물게 발생하는 치명적인 합병증으로서 신속한 진단과 치료를 요한다. 저자들은 극소저출생체중아에서 제대정맥도관의 합병증으로 발생한 흉막삼출과 심장압전을 동반한 심낭삼출을 흉관삽입과 심낭도관술로 치유한 1례를 경험하고, 아직 국내에는 보고된 적이 없어 문헌고찰과 함께 보고하는 바이다.

• Journal of Chest Surgery
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• 제21권2호
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• pp.366-372
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• 1988

Cardiac tamponade occurring after open heart surgery is a rare, but fatal complication necessitating urgent drainage, though postoperative pericardial effusion is common. Two-dimensional echocardiographic study provides excellent postoperative visualization of pericardial effusion. Catheter insertion guided by two-dimensional echocardiography has been used to accomplish nonoperative drainage of symptomatic postoperative pericardial effusion in 4 cases. This technique offers simplicity, safety, and cost effectiveness.

• Journal of Chest Surgery
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• 제6권2호
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• pp.189-194
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• 1973

A cardiac injury is one of the most dramatic and demanding emergencies than may be cared by the surgeon. Four patients who sustained penetrating wound of the heart have been experienced in the Depart-ment of Thoracic Surgery, Kyungpook National University Hospital. They were 3 males and one female. The age was between 21 and 25. All of this series had stab wounds on the heart by instruments of scissors, gimlet, kitchen knife and glass. Injured sites were two cases of right ventricle, one of the right atrium and one of indifinitive with pericardial laceration. Three of these patients have been successfully treated by emergency thoracotomy with 3-0 silk sutures for myocardial penetrating wounds. One of these patients occurred cardiac arrest during surgery and expired, who was in penetrated right ventricular injury through which massive bleeded. The classic clinical description of tamponade, Beck`s triad, seemed to be useful for making diagnosis of the tamponade but not entirely reliable as diagnostic criterion of the tamponade. In the studing of 3 tamponade cases in these series, the triad of Beck was presented in only two cases. Elevated venous pressure was thought to be a valuable diagnostic factor in pericardial tamponade.

• Journal of Chest Surgery
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• 제39권9호
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• pp.702-705
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• 2006

대량의 심낭삼출액을 제거한 뒤 발생할 수 있는 심한 좌심실 부전에 관한 보고는 많지 않다. 심실 간의 용적 차이, 심장의 갑작스런 확장 그리고 교감신경계의 작용 등이 심실기능 부전의 원인으로 생각될 수 있다. 검상돌기하 심낭창을 통해 심장 압전을 완화한 뒤 심실 기능 부전이 발생한 두 증례를 보고하면서, 특히 심장수술 후 심장 압전이 있는 환자의 경우 혈류역학을 잘 관찰하면서 심낭삼출액을 서서히 제거할 것을 제안한다.

• Journal of Yeungnam Medical Science
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• 제34권1호
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• pp.91-95
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• 2017

We report on a rare case involving a 23-year-old female patient with mediastinal cystic mass complicated with acute pericarditis and cardiac tamponade. Pericardial fluid demonstrated lymphocyte-predominant exudate and the level of carcinoembryonic antigen (CEA) was unexpectedly elevated. Successive aspiration of mediastinal cystic mass revealed a very high level of CEA (>100,000 U/mL) and carbohydrate antigen 19-9 (>15,000 ng/mL). This patient was clinically diagnosed as an infected bronchogenic cyst complicated with pericarditis and cardiac tamponade. The treatment resulted in alleviation of her symptoms.

• Clinical and Experimental Pediatrics
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• 제59권sup1호
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• pp.112-115
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• 2016

Noonan syndrome is an autosomal dominant, multisystem disorder. Autoimmune thyroiditis with hypothyroidism is an infrequent feature in patients with Noonan syndrome. A 16-year-old boy was admitted because of chest discomfort and dyspnea; an echocardiogram revealed pericardial effusion. Additional investigations led to a diagnosis of severe hypothyroidism due to Hashimoto thyroiditis. The patient was treated with L-thyroxine at 0.15 mg daily. However, during admission, he developed symptoms of cardiac tamponade. Closed pericardiostomy was performed, after which the patient's chest discomfort improved, and his vital signs stabilized. Herein, we report a case of an adolescent with Noonan syndrome, who was diagnosed with Hashimoto thyroiditis with an unusual presentation of cardiac tamponade.

• Clinical and Experimental Pediatrics
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• 제51권2호
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• pp.209-213
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• 2008

신경성 식욕부진은 여자 청소년에 있어서 체중 감소의 주된 원인임과 동시에 소아와 청소년에 있어서 입원의 주된 원인 중의 하나이다. 이는 생명을 위협할 수 있는 장애로서 약 1/3에서 심장 합병증으로 사망한다. 신경성 식욕부진 환자에서 심장막삼출이 높은 발생빈도를 보인다고 최근에 보고되고 있으나 심장막천자술이 필요한 경우는 흔하지 않다. 저자들은 많은 양의 심장막삼출을 동반한 3명의 신경성 식욕부진 여아를 경험하였기에 보고하고자 한다. 이 중 2명은 심낭압전의 가능성이 있어서 심장막천자술이 필요하였다.