After sternotomy and pericardectomy hemopericardium
found suggestive of leakage of blood subacute free wall rupture near apex which was sealed by it and apical clot was still present in cavity.
The most specific finding on imaging suggestive of blunt cardiac trauma is pericardial effusion of varying density which is the CT equivalent of hemopericardium
can be a clue to aneurysm rupture or impending rupture.
Based on antemortem findings, idiopathic hemopericardium
or an unidentified pericardial neoplasm was suspected.
The emergency physician then performed an emergent thoracotomy, which revealed cardiac tamponade due to a hemopericardium
may result from thrombolytic and glycoprotein Ilb/IIIa inhibitor therapy, LVFWR should always be considered the leading diagnosis in a patient with AMI who is hypotensive and has pericardial effusion.
and cardiac tamponade in a patient with an elevated international normalized ratio.
Pericarditis may be acute or chronic (9) or may have other presentations, such as hemopericardium
29,30) The Focused Assessment with Sonography in Trauma (FAST) exam, which examines the heart for hemopericardium
and the abdomen for hemoperitoneum is now standard teaching in advanced trauma life support (ATLS) as it may quickly localize bleeding and direct lifesaving intervention.
These complications (device embolization, thrombosis, transient cerebral ischemia or stroke, incomplete ASD closure with significant residual shunt, atrial and/ or aortic injury or erosion, hemopericardium
with tamponade, aortic or mitral valve injury and endocarditis) may necessitate surgical intervention, which is highly effective, but is nevertheless associated with higher mortality than primary surgical ASD repair.
Early use of echocardiography to detect the presence of hemopericardium
and cardiac tamponade in patients with suspected atrial rupture following blunt chest trauma is advocated (7).
Gross findings, such as hemothorax and hemopericardium
, might be due to rupture or the compression of blood vessels (CAPEN, 2002), and would have been responsible for the anemia observed in dog 1.