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Eur J Cardiothorac Surg 2004;26:655-657
© 2004 Elsevier Science NL

Case report

Pericardio-diaphragmatic avulsion and concomitant rupture of the central tendon of the diaphragm

Department of Thoracic Surgery, Norfolk and Norwich University Hospital, Colney Lane, Norwich NR4 7UY, UK

Received 4 February 2004; received in revised form 21 May 2004; accepted 24 May 2004.

^* Corresponding author. Tel.: +44-1603-286-395; fax: +44-1603-287-882
e-mail: filip.vantornout{at}nnuh.nhs.uk

Two patients, treated for blunt thoracoabdominal trauma with ruptured diaphragm and concomitant avulsion of the pericardial sac in its entirety from the central tendon of the diaphragm, are presented. We do not think this entity has been reported before. We explain this type of lesion on the basis of embryological development of the pericardium at the level of the central tendon of the diaphragm.

Key Words: Diaphragm • Trauma • Blunt • Rupture • Pericardium

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				Z. Witkowski, J. Lasek, M. Wujtewicz, M. Stasiak, W. Marks, and A. Kawecka Pericardiodiaphragmatic rupture and cardiac herniation after multiple blunt trauma: Diagnostic and therapeutic difficulties J. Thorac. Cardiovasc. Surg., December 1, 2005; 130(6): e9 - e10. [Full Text] [PDF]