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Roger Giudicelli
Pierre Fuentes
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Eur J Cardiothorac Surg 2001;20:409
© 2001 Elsevier Science NL

Images in cardio-thoracic surgery

Post-traumatic pericardial rupture

Pascal Thomas, Christophe Doddoli, Roger Giudicelli, Pierre Fuentes

Department of Thoracic Surgery, Université Méditerranée (Aix-Marseille II) School of Medicine, Sainte Marguerite Hospital, 270 Boulevard Sainte Marguerite, 13274 Marseille Cedex 9, France

Received 19 April 2001; received in revised form 8 May 2001; accepted 11 May 2001.

Corresponding author. Tel.: +33-491-744-680; fax: +33-491-744-590
e-mail: pathomas{at}mail.ap-hm.fr

A 44-year-old male was involved as a belted driver in a head-on car collision. The chest CT-scan was suggestive of pericardial rupture (Fig. 1) . Chest tube drainage did not improve the hemodynamic instability, and a left thoracotomy was performed. The heart was reintegrated and a 10 cm pericardial tear located at its junction with the diaphragm was repaired by interrupted sutures.



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  		Fig. 1. Chest CT-scan showing a bilateral pneumothorax (due to a lung laceration caused by rapid deceleration) associated with a pneumopericardium and a herniated heart.

 




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Pascal Thomas
Roger Giudicelli
Pierre Fuentes
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