Abstract
Pneumopericardium is a rare condition, most frequently reported in connection with prolonged artificial ventilation in infants with hyaline membrane disease. No reports of pneumopericardium after pulmonary surgery have been published. Two cases of pneumopericardium are reported, one of tension pneumopericardium after pneumonectomy and artificial ventilation and one that followed radical lobectomy and artificial ventilation. The radiographic findings included pneumopericardium and subcutaneous emphysema and the patient who had had a pneumonectomy had severe symptoms of cardiac tamponade. Prolonged artificial ventilation in patients after pulmonary surgery and in the presence of an intrathoracic air leak may be a hazard. The importance of prompt surgical intervention in cases of tension pneumopericardium is underlined; the treatment of choice is thoracotomy with pericardiotomy.
Full text
PDF


Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- ACKERMAN J. L., ALDEN J. W. Pnuemopericardium following sternal bone marrow aspiration; a case report. Radiology. 1958 Mar;70(3):408–passim. doi: 10.1148/70.3.408. [DOI] [PubMed] [Google Scholar]
- Cohen S., Lockhart C. H. Pneumopericardium: A complication of prolonged ventilation. Anesthesiology. 1970 May;32(5):465–467. [PubMed] [Google Scholar]
- Cummings R. G., Wesly R. L., Adams D. H., Lowe J. E. Pneumopericardium resulting in cardiac tamponade. Ann Thorac Surg. 1984 Jun;37(6):511–518. doi: 10.1016/s0003-4975(10)61146-0. [DOI] [PubMed] [Google Scholar]
- Diemer N. H., Egvad K. Pneumopericardium. Ugeskr Laeger. 1973 Aug 13;135(33):1751–1752. [PubMed] [Google Scholar]
- Høier-Madsen K., Schulze S., Møller Pedersen V., Halkier E. Management of bronchopleural fistula following pneumonectomy. Scand J Thorac Cardiovasc Surg. 1984;18(3):263–266. doi: 10.3109/14017438409109905. [DOI] [PubMed] [Google Scholar]
- Khan R. M. Air tamponade and tension pneumopericardium. An unusual complication of subtotal pericardiectomy. J Thorac Cardiovasc Surg. 1974 Aug;68(2):328–330. [PubMed] [Google Scholar]
- PATEL C. V., ANAND A. L. A fatal case of pneumopericardium probably due to a patent pleuropericardial defect. Radiology. 1960 Apr;74:626–627. doi: 10.1148/74.4.626. [DOI] [PubMed] [Google Scholar]
- ROSEN A., VAUDAGNA J., JAMPLIS R. W. Spontaneous pneumopericardium. Am Rev Respir Dis. 1963 May;87:764–765. doi: 10.1164/arrd.1963.87.5.764. [DOI] [PubMed] [Google Scholar]
- Sagel S. S., Wimbush P., Goldenberg D. B. Tension pneumopericardium following assisted ventilation in hyaline membrane disease. Radiology. 1973 Jan;106(1):175–178. doi: 10.1148/106.1.175. [DOI] [PubMed] [Google Scholar]
- Toledo T. M., Moore W. L., Jr, Nash D. A., North R. L. Spontaneous pneumopericardium in acute asthma: case report and review of the literature. Chest. 1972 Jul;62(1):118–120. doi: 10.1378/chest.62.1.118. [DOI] [PubMed] [Google Scholar]
- Westaby S. Penumopericardium and tension pneumopericardium after closed-chest injury. Thorax. 1977 Feb;32(1):91–97. doi: 10.1136/thx.32.1.91. [DOI] [PMC free article] [PubMed] [Google Scholar]


