Pneumopericardium is relatively stable if it does not generate a tension effect on the heart, but if the tension pneumopericardium
it requires immediate evacuation of the pericardial air.
Vickars, "Tension pneumopericardium
: an unusual manifestation of invasive pulmonary aspergillosis," American Journal of Roentgenology, vol.
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.
Pneumopericardium was first described in 1844 and up to 37% of pneumopericardium progress to tension pneumopericardium. 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.
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.