Imaging of cardiac herniation in traumatic pericardial rupture.
Cardiac herniation as a result of traumatic pericardial rupture is a serious injury and a difficult diagnosis to make on radiographic studies. Even with the more advanced imaging modalities, this rare diagnosis remains challenging. In a high-energy traumatic setting, there are chest radiograph and multidetector computed tomography findings that are strongly suggestive of cardiac herniation. The imaging, along with greater awareness of this injury, may provide a more rapid diagnosis, thus potentially preventing the severe clinical deterioration often seen in these patients.
Nassiri
Naiem
N
School of Medicine, Oregon Health and Science University, Portland, OR 97239, USA.
Yu
Aaron
A
Statkus
Nicholas
N
Gosselin
Marc
M
D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D006335:Heart Injuries / Q000175:diagnosis* / Q000209:etiology; D006341:Heart Rupture / Q000175:diagnosis* / Q000209:etiology; D006547:Hernia / Q000175:diagnosis* / Q000209:etiology; D006801:Humans; D010496:Pericardium / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000150:complications*