During this time the patient should be monitored for acute complications such as tension pneumopericardium
and tension pneumothorax.
We present a case of tension pneumopericardium in a patient with a portable ventilator during intrahospital transport for computed tomography scan.
Tension pneumopericardium is a rare entity but a lifethreateningcomplicationduetosubsequent cardiovascularcompromiseandcirculatory collapse.
It was not clear how air leaked into the pericardial space and tension pneumopericardium finally occurred.
Treatment is required in cases of large and symptomatic pneumopericardium or in patients of tension pneumopericardium, which can be a needle aspiration or tube decompression.
COMPLICATION: Tension pneumopericardium leading to cardiac tamponade occasionally complicates pneumopericardium.
9) A life-threatening tension pneumopericardium can be a complication that can be caused by a valve mechanism that allows the air to enter the pericardial sac but not to exit it.
15) Our case elucidates the role of Valsalva's s maneuver in the pathophysiology of pneumopericardium and increases physicians' awareness of pneumopericardium as a possible cause of chest pain and to rule out tension pneumopericardium as a possible reason of hemodynamic shock, especially when no trauma is visible.
Cardiac tamponade secondary to tension pneumopericardium
from penetrating chest trauma.
The commonest sign of tension pneumopericardium is distant, muffled heart sounds.
The primary management of tension pneumopericardium is relief of the cardiac tamponade to restore haemodynamic stability.
The commonest sign of a tension pneumopericardium
is distant, muffled heart sounds.