Traumatic pericardial rupture with skeletonized phrenic nerve

Zain I Khalpey, Taufiek K. Rajab, Jan D. Schmitto, Philipp C. Camp

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Background: Traumatic pericardial rupture is a rare presentation. Pericardial rupture itself is asymptomatic unless complicated by either hemorrhage or herniation of the heart through the defect. Following diagnosis surgical repair of the pericardium is indicated because cardiac herniation may result in vascular collapse and sudden death.Objectives: Here we present a case of traumatic, non-herniated pericardial rupture with complete skeletonization of the phrenic nerve.Case report: An 18-year-old healthy male suffered multi-trauma after falling 50 feet onto concrete. The patient could not be stabilized despite exploratory laparotomy with splenectomy, IR embolization and packing for a liver laceration. Right posterolateral thoracotomy revealed a ruptured pericardium with a completely skeletonized phrenic nerve. The pericardium was repaired with a Goretex(R) patch.Conclusion: A high level of suspicion for pericardial rupture is necessary in all patients with high-velocity thoracic injuries.

Original languageEnglish (US)
Article number6
JournalJournal of Cardiothoracic Surgery
Volume6
Issue number1
DOIs
StatePublished - Jan 17 2011
Externally publishedYes

Fingerprint

Phrenic Nerve
Rupture
Pericardium
Accidental Falls
Thoracic Injuries
Lacerations
Polytetrafluoroethylene
Splenectomy
Thoracotomy
Sudden Death
Laparotomy
Blood Vessels
Hemorrhage
Liver
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Traumatic pericardial rupture with skeletonized phrenic nerve. / Khalpey, Zain I; Rajab, Taufiek K.; Schmitto, Jan D.; Camp, Philipp C.

In: Journal of Cardiothoracic Surgery, Vol. 6, No. 1, 6, 17.01.2011.

Research output: Contribution to journalArticle

Khalpey, Zain I ; Rajab, Taufiek K. ; Schmitto, Jan D. ; Camp, Philipp C. / Traumatic pericardial rupture with skeletonized phrenic nerve. In: Journal of Cardiothoracic Surgery. 2011 ; Vol. 6, No. 1.
@article{eac2d39bc57b4443b2d81f51fbbd5280,
title = "Traumatic pericardial rupture with skeletonized phrenic nerve",
abstract = "Background: Traumatic pericardial rupture is a rare presentation. Pericardial rupture itself is asymptomatic unless complicated by either hemorrhage or herniation of the heart through the defect. Following diagnosis surgical repair of the pericardium is indicated because cardiac herniation may result in vascular collapse and sudden death.Objectives: Here we present a case of traumatic, non-herniated pericardial rupture with complete skeletonization of the phrenic nerve.Case report: An 18-year-old healthy male suffered multi-trauma after falling 50 feet onto concrete. The patient could not be stabilized despite exploratory laparotomy with splenectomy, IR embolization and packing for a liver laceration. Right posterolateral thoracotomy revealed a ruptured pericardium with a completely skeletonized phrenic nerve. The pericardium was repaired with a Goretex(R) patch.Conclusion: A high level of suspicion for pericardial rupture is necessary in all patients with high-velocity thoracic injuries.",
author = "Khalpey, {Zain I} and Rajab, {Taufiek K.} and Schmitto, {Jan D.} and Camp, {Philipp C.}",
year = "2011",
month = "1",
day = "17",
doi = "10.1186/1749-8090-6-6",
language = "English (US)",
volume = "6",
journal = "Journal of Cardiothoracic Surgery",
issn = "1749-8090",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Traumatic pericardial rupture with skeletonized phrenic nerve

AU - Khalpey, Zain I

AU - Rajab, Taufiek K.

AU - Schmitto, Jan D.

AU - Camp, Philipp C.

PY - 2011/1/17

Y1 - 2011/1/17

N2 - Background: Traumatic pericardial rupture is a rare presentation. Pericardial rupture itself is asymptomatic unless complicated by either hemorrhage or herniation of the heart through the defect. Following diagnosis surgical repair of the pericardium is indicated because cardiac herniation may result in vascular collapse and sudden death.Objectives: Here we present a case of traumatic, non-herniated pericardial rupture with complete skeletonization of the phrenic nerve.Case report: An 18-year-old healthy male suffered multi-trauma after falling 50 feet onto concrete. The patient could not be stabilized despite exploratory laparotomy with splenectomy, IR embolization and packing for a liver laceration. Right posterolateral thoracotomy revealed a ruptured pericardium with a completely skeletonized phrenic nerve. The pericardium was repaired with a Goretex(R) patch.Conclusion: A high level of suspicion for pericardial rupture is necessary in all patients with high-velocity thoracic injuries.

AB - Background: Traumatic pericardial rupture is a rare presentation. Pericardial rupture itself is asymptomatic unless complicated by either hemorrhage or herniation of the heart through the defect. Following diagnosis surgical repair of the pericardium is indicated because cardiac herniation may result in vascular collapse and sudden death.Objectives: Here we present a case of traumatic, non-herniated pericardial rupture with complete skeletonization of the phrenic nerve.Case report: An 18-year-old healthy male suffered multi-trauma after falling 50 feet onto concrete. The patient could not be stabilized despite exploratory laparotomy with splenectomy, IR embolization and packing for a liver laceration. Right posterolateral thoracotomy revealed a ruptured pericardium with a completely skeletonized phrenic nerve. The pericardium was repaired with a Goretex(R) patch.Conclusion: A high level of suspicion for pericardial rupture is necessary in all patients with high-velocity thoracic injuries.

UR - http://www.scopus.com/inward/record.url?scp=78651410939&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78651410939&partnerID=8YFLogxK

U2 - 10.1186/1749-8090-6-6

DO - 10.1186/1749-8090-6-6

M3 - Article

VL - 6

JO - Journal of Cardiothoracic Surgery

JF - Journal of Cardiothoracic Surgery

SN - 1749-8090

IS - 1

M1 - 6

ER -