Journal of cardiothoracic surgery · 2012
Cardiac tamponade: contrast reflux as an indicator of cardiac chamber equalization.
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Nauta Foeke Jacob Harmen, Borstlap Wernard Aat Antoine, Stella Michael, Khalpey Zain
Аннотация
BACKGROUND: Traumatic hemopericardium remains a rare entity; it does however commonly cause cardiac tamponade which remains a major cause of death in traumatic blunt cardiac injury.
OBJECTIVES: We present a case of blunt chest trauma complicated by cardiac tamponade causing cardiac chamber equalization revealed by reflux of contrast.
CASE REPORT: A 29-year-old unidentified male suffered blunt chest trauma in a motor vehicle collision. Computed tomography (CT) demonstrated a periaortic hematoma and hemopericardium. Significant contrast reflux was seen in the inferior vena cava and hepatic veins suggesting a change in cardiac chamber pressures. After intensive treatment including cardiac massage this patient expired of cardiac arrest.
CONCLUSION: Reflux of contrast on CT imaging can be an indicator of traumatic cardiac tamponade.
OBJECTIVES: We present a case of blunt chest trauma complicated by cardiac tamponade causing cardiac chamber equalization revealed by reflux of contrast.
CASE REPORT: A 29-year-old unidentified male suffered blunt chest trauma in a motor vehicle collision. Computed tomography (CT) demonstrated a periaortic hematoma and hemopericardium. Significant contrast reflux was seen in the inferior vena cava and hepatic veins suggesting a change in cardiac chamber pressures. After intensive treatment including cardiac massage this patient expired of cardiac arrest.
CONCLUSION: Reflux of contrast on CT imaging can be an indicator of traumatic cardiac tamponade.