• Int. J. Cardiol. · Feb 2008

    Letter Case Reports

    Pneumopericardium after blunt chest trauma: mechanical ventilation with positive pressure must be avoided.

    • Epaminondas Zakynthinos, Eleni Karetsi, and Chrisi Diakaki.
    • Int. J. Cardiol. 2008 Feb 20;124(1):e8-e10.

    AbstractA 38-year-old polytraumatized man was admitted with signs of cardiogenic shock (low blood pressure, tachycardia, tachypnea, and elevated central venous pressure). A near tension pneumopericardium was revealed by thorax CT. Air from the pericardial sac remissed 4 days later conservatively, avoiding invasive or non-invasive mechanical ventilation. The use of positive-pressure ventilation, with or without intubation, would probably lead to tension pneumopericardium-cardiac tamponade, needing emergent decompression.

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