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Ann Thorac Surg 2003;75:581-582
© 2003 The Society of Thoracic Surgeons

Case report

Pericardial rupture and cardiac herniation after blunt chest trauma

Jacques T. Janson, MB ChB*a, David G. Harris, FCS (SA)a, Johann Pretorius, MMed (Thor)a, Gawie J. Rossouw, FCS (SA)a

a Department of Cardiothoracic Surgery, Tygerberg Hospital, University of Stellenbosch, Tygerberg, South Africa

Accepted for publication August 14, 2002.

* Address reprint requests to Dr Janson, Department of Cardiothoracic Surgery, Faculty of Medicine, PO Box 19173, Tygerberg 7505, South Africa
e-mail: jjanson{at}absamail.co.za

Pericardial rupture after blunt chest trauma is rare and is associated with a high mortality rate. We describe a patient with traumatic pericardial rupture and cardiac herniation who was successfully treated surgically. Traumatic pericardial rupture is difficult to diagnose preoperatively but should be suspected whenever there is severe blunt chest trauma. If pericardial rupture is not recognized and treated promptly it could be fatal owing to cardiac herniation.




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