Pericardial Rupture and Chronic Subluxation of the Heart: A Case Report  

作　　者：Pedram Rajabifard Anurag Agarwal Peter Skillington Pedram Rajabifard;Anurag Agarwal;Peter Skillington(Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Victoria, Australia)

机构地区：[1]Department of Cardiothoracic Surgery, Royal Melbourne Hospital, Victoria, Australia

出　　处：《World Journal of Cardiovascular Surgery》2021年第9期75-81,共7页心血管外科国际期刊（英文）

摘　　要：<strong>Background:</strong><span><span><span style="font-family:;" "=""> Pericardial rupture is a rare diagnosis, usually occurring secondary to high energy blunt force trauma, which can result in subluxation of the heart. <b>Aim:</b> To determine a suitable method for repair of a pericardial defect post traumatic pericardial rupture. <b>Case:</b> We present a 55-year-old male who was found to have a large pericardial defect intra-operatively while undergoing an elective Ross procedure. The defect was repaired with a Gore-Tex membrane. The patient underwent revision sternotomy and repair of the pericardium due to inadequate laxity of the repaired pericardium resulting in <span>hemodynamic instability. <b>Conclusion:</b> Synthetic membranes, such as Gore-Tex</span> membranes, can be used successfully for repair of large pericardial defects but care must be taken to prevent undue tension secondary to taut repair, resulting in hemodynamic compromise.</span></span></span><strong>Background:</strong><span><span><span style="font-family:;" "=""> Pericardial rupture is a rare diagnosis, usually occurring secondary to high energy blunt force trauma, which can result in subluxation of the heart. <b>Aim:</b> To determine a suitable method for repair of a pericardial defect post traumatic pericardial rupture. <b>Case:</b> We present a 55-year-old male who was found to have a large pericardial defect intra-operatively while undergoing an elective Ross procedure. The defect was repaired with a Gore-Tex membrane. The patient underwent revision sternotomy and repair of the pericardium due to inadequate laxity of the repaired pericardium resulting in <span>hemodynamic instability. <b>Conclusion:</b> Synthetic membranes, such as Gore-Tex</span> membranes, can be used successfully for repair of large pericardial defects but care must be taken to prevent undue tension secondary to taut repair, resulting in hemodynamic compromise.</span></span></span>

关 键 词：Pericardial Rupture PERICARDIUM TRAUMA Cardiac Trauma 

分 类 号：R65[医药卫生—外科学]