Objective <p>To analyze and summarize the experiences in surgical treatment of acute pericardial tamponade.</p> Methods <p>The clinical data of 12 consecutive patients with acute pericardial tamponade caused by various types of trauma were retrospectively collected and reviewed.</p> Results <p>There were 9 (75%) males and 3(25%) females. The average age was 45.0 years (range, 29 to 72 years). 9 cases of this cohort were diagnosed by CT. However, 2 cases of acute pericardial tamponade caused by iatrogenic injury were confirmed by angiography and transesophageal echocardiography. 1 case was diagnosed by ultrasonocardiograph, and 1 case by UCG combined with CT scan. Surgical pericardiotomy was performed via different incisions. All 12 patients were discharged without complications.</p> Conclusion <p>Acute pericardial tamponade has different etiologies and complex conditions, and is a catastrophic condition that can be fatal. However, rapid diagnosis, maintenance of vital signs and surgical pericardiotomy are lifesaving methods to treat acute pericardial tamponade patients.</p>

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Single center experience in surgical treatment of traumatic acute pericardial tamponade: a consecutive series of 12 cases

  • Jingfeng Zhu,
  • Shuang Li,
  • Jianchao Liu,
  • Yijun Shi,
  • Aizhong Shao,
  • Guowen Ding,
  • Yangyong Sun

摘要

Objective

To analyze and summarize the experiences in surgical treatment of acute pericardial tamponade.

Methods

The clinical data of 12 consecutive patients with acute pericardial tamponade caused by various types of trauma were retrospectively collected and reviewed.

Results

There were 9 (75%) males and 3(25%) females. The average age was 45.0 years (range, 29 to 72 years). 9 cases of this cohort were diagnosed by CT. However, 2 cases of acute pericardial tamponade caused by iatrogenic injury were confirmed by angiography and transesophageal echocardiography. 1 case was diagnosed by ultrasonocardiograph, and 1 case by UCG combined with CT scan. Surgical pericardiotomy was performed via different incisions. All 12 patients were discharged without complications.

Conclusion

Acute pericardial tamponade has different etiologies and complex conditions, and is a catastrophic condition that can be fatal. However, rapid diagnosis, maintenance of vital signs and surgical pericardiotomy are lifesaving methods to treat acute pericardial tamponade patients.