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J Thorac Cardiovasc Surg 2008;135:432-433
© 2008 The American Association for Thoracic Surgery

Brief Communication

Tension pneumopericardium leads to cardiac tamponade during hand-assisted ventilation in patients with uremia

Qun Su, MDa, Zhiying Feng, MDb, Tong Li, MDa, Tao Jin, MDc,*

a Department of Intensive Care Union, School of Medicine, University of ZheJiang, Hangzhou, China
b Department of Anesthesia, School of Medicine, University of ZheJiang, Hangzhou, China
c Department of Cardiothoracic Surgery, School of Medicine, University of ZheJiang, Hangzhou, China

Received for publication August 30, 2007; accepted for publication October 19, 2007.

* Address for reprints: Tao Jin, MD, Department of Cardiothoracic Surgery, School of Medicine, University of ZheJiang, 310003, Hangzhou, China. (Email: tjincn@hotmail.com).

The first 20% of the full text of this article appears below.

Tension pneumopericardium is a rare disease and may indeed be life threatening. It usually occurs in patients receiving assisted ventilation. We report a case of tension pneumopericardium in a patient during computer tomographic scanning. The CT scanning provides us with the necessary images during the development of tension pneumopericardium.

Clinical Summary

A 62-year-old female patient with a diagnosis of chronic renal insufficiency, uremia, renal anemia, and renal hypertension was admitted to the First Affiliated Hospital, School of Medicine, Zhejiand University on May 1, 2006. At 6 PM on May 6, the patient experienced palpitations after continuous renal replacement therapy was performed, and an atrial fibrillation was observed. After the administration of 5 mg of diltiazem, the patient's heart rate decreased and returned to sinus rhythm. At 1:30 AM on May 7, the patient began to cough blood sputum and showed chest distress and tachypnea. The life monitor showed a molecular oxygen saturation of 85% to 92%, and moist rales were heard in both sides of the . . . [Full Text of this Article]




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