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Cardiac tamponade: contrast reflux as an indicator of cardiac chamber equalization

BACKGROUND: Traumatic hemopericardium remains a rare entity; it does however commonly cause cardiac tamponade which remains a major cause of death in traumatic blunt cardiac injury. OBJECTIVES: We present a case of blunt chest trauma complicated by cardiac tamponade causing cardiac chamber equalizat...

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Detalles Bibliográficos
Autores principales: Nauta, Foeke Jacob Harmen, Borstlap, Wernard Aat Antoine, Stella, Michael, Khalpey, Zain
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3403874/
https://www.ncbi.nlm.nih.gov/pubmed/22651687
http://dx.doi.org/10.1186/1749-8090-7-48
Descripción
Sumario:BACKGROUND: Traumatic hemopericardium remains a rare entity; it does however commonly cause cardiac tamponade which remains a major cause of death in traumatic blunt cardiac injury. OBJECTIVES: We present a case of blunt chest trauma complicated by cardiac tamponade causing cardiac chamber equalization revealed by reflux of contrast. CASE REPORT: A 29-year-old unidentified male suffered blunt chest trauma in a motor vehicle collision. Computed tomography (CT) demonstrated a periaortic hematoma and hemopericardium. Significant contrast reflux was seen in the inferior vena cava and hepatic veins suggesting a change in cardiac chamber pressures. After intensive treatment including cardiac massage this patient expired of cardiac arrest. CONCLUSION: Reflux of contrast on CT imaging can be an indicator of traumatic cardiac tamponade.