Traumatic pericardial rupture with skeletonized phrenic nerve

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

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

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

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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