Cardiac tamponade: Contrast reflux as an indicator of cardiac chamber equalization

Foeke Jacob H Nauta, Wernard Aat A Borstlap, Michael Stella, Zain Khalpey

Research output: Contribution to journalArticle

Abstract

Background: Traumatic hemopericardium remains a rare entity; it does however commonly cause cardiac tamponade which remains a major cause of death in traumatic blunt cardiac injury.Objectives: We present a case of blunt chest trauma complicated by cardiac tamponade causing cardiac chamber equalization revealed by reflux of contrast.Case report: A 29-year-old unidentified male suffered blunt chest trauma in a motor vehicle collision. Computed tomography (CT) demonstrated a periaortic hematoma and hemopericardium. Significant contrast reflux was seen in the inferior vena cava and hepatic veins suggesting a change in cardiac chamber pressures. After intensive treatment including cardiac massage this patient expired of cardiac arrest.Conclusion: Reflux of contrast on CT imaging can be an indicator of traumatic cardiac tamponade.

Original languageEnglish
Article number48
JournalJournal of Cardiothoracic Surgery
Volume7
Issue number1
DOIs
Publication statusPublished - May 31 2012

Fingerprint

Cardiac Tamponade
Pericardial Effusion
Thorax
Tomography
Heart Massage
N,N-dimethyl-3,3-diphenyl-1-methylallylamine
Hepatic Veins
Wounds and Injuries
Inferior Vena Cava
Motor Vehicles
Heart Arrest
Hematoma
Cause of Death
Pressure
Therapeutics

Keywords

  • Blunt trauma
  • Cardiac hemodynamics
  • Cardiac tamponade
  • Contrast reflux
  • Hemopericardium

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

Cardiac tamponade : Contrast reflux as an indicator of cardiac chamber equalization. / Nauta, Foeke Jacob H; Borstlap, Wernard Aat A; Stella, Michael; Khalpey, Zain.

In: Journal of Cardiothoracic Surgery, Vol. 7, No. 1, 48, 31.05.2012.

Research output: Contribution to journalArticle

Nauta, Foeke Jacob H ; Borstlap, Wernard Aat A ; Stella, Michael ; Khalpey, Zain. / Cardiac tamponade : Contrast reflux as an indicator of cardiac chamber equalization. In: Journal of Cardiothoracic Surgery. 2012 ; Vol. 7, No. 1.
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