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Dinesh Sadasivan
Sanjay Sharma
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Eur J Cardiothorac Surg 2005;27:344
© 2005 Elsevier Science NL

Images in cardio-thoracic surgery

Tension pneumopericardium relieved by pigtail catheter

Sumit Yadav*, Dinesh Sadasivan, Sanjay Sharma

Department of Cardiothoracic Surgery, Fremantle Hospital, Fremantle, WA 6160 Australia

Received 24 August 2004; received in revised form 27 October 2004; accepted 4 November 2004.

* Corresponding author. Tel.: +61 8 943133; fax: +61 8 94312915. (E-mail: s_yadava{at}rediffmail.com).

Key Words: Trauma blunt • Pericardium • Cardiac

A 20-year-old male had a car accident and was brought with unstable haemodynamics. An urgent radiographic evaluation showed pneumopericardium (Fig. 1). Clinically he was thought to be having cardiac tamponade. A pigtail catheter was placed through subxiphoid approach (Fig. 2) and there was a remarkable improvement in the haemodynamics.



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  		Fig. 1. Chest X-ray (AP view) showing pneumopericardium. A clinical elucidation of Beck's triad and a strong clinical suspicion in the absence of haemorrage as the cause of hypotension, led to the diagnosis of cardiac temponade.

 


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  		Fig. 2. Chest X-ray (AP view) showing pigtail catheter in the pericardium with successful relief in pneumopericardium.

 





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Dinesh Sadasivan
Sanjay Sharma
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Right arrow Articles by Sharma, S.
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Right arrow Cardiac - other
Right arrow Pericardium

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