Repair of pericardial rupture by abdominal transphrenic approach solely.
The abdominal transphrenic approach enabled us to repair a left lateral pericardial rupture on a polytrauma patient who also had a rupture of the spleen and a retroperitoneal hemorrhage. A pericardial exploration was necessary because of a sudden upper venous congestion syndrome during operation, suggestive of a cardiac tamponade.
D000005:Abdomen / Q000601:surgery*; D006801:Humans; D010496:Pericardium / Q000293:injuries* / Q000601:surgery; D012421:Rupture