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Non-perforating pericardial rupture causing cardiac tamponade

Division of Cardiovascular Surgery, Jichi Medical School, 3311-1 Yakushiji, Minami-kawachi, Tochigi 329-0498, Japan

^* Corresponding author. Tel.: +81-285-58-7368; fax: +81-285-44-6271
tcvmisa{at}jichi.ac.jp

A 51-year-old auto truck driver was transferred to our hospital after crashing. He had a severe pain on the left anterior chest wall with high central venous pressure of 30cm H₂O. Surveillance of the chest revealed cardiac tamponade and the right seventh rib fracture with left pleural effusion. Pericardiotomy through median sternotomy led to extrusive bloody pericardial effusion. Non-perforating pericardial laceration at the site of the adjoining muscular structure of the diaphragm was repaired with direct suture closure. His postoperative course was uneventful.

Key Words: Pericardial rupture; Cardiac trauma; Cardiac tamponade; Diaphragmatic rupture