A Case Report of Cardiac Tamponade Caused by Anterior Mediastinal Bleeding after Blunt Chest Trauma
10.4326/jjcvs.44.29
- VernacularTitle:鈍的胸部外傷後の前縦隔出血により発症した稀な心タンポナーデの1例
- Author:
Eisaku Nakamura
;
Katsuhiko Niina
;
Kazushi Kojima
;
Atsuko Yokota
- Publication Type:Journal Article
- Keywords:
blunt chest trauma;
anterior mediastinal bleeding;
cardiac tamponade;
rupture of the pericardium
- From:Japanese Journal of Cardiovascular Surgery
2015;44(1):29-32
- CountryJapan
- Language:Japanese
-
Abstract:
A 37-year-old man who fell from a truck had chest pain and we diagnosed blunt chest trauma. A chest computed-tomography displayed a traumatic cardiac tamponade. The patient was transported to our hospital for emergency surgery. After median sternotomy, there was no injury of heart and great vessels in the pericardial sac but a rupture of the pericardium. Bleeding and hematoma were found in the anterior mediastinal space. The cardiac tamponade was caused by the bleeding from anterior mediastinal space. Usually, blunt cardiac tamponade was caused by the bleeding from cardiovascular organs, however, we encountered a very rare cardiac tamponade due to the bleeding from the anterior mediastinal space.
