Shelke Abhijeet B, Kawade Ramesh, Gandhi Sourabh
Department of Cardiology, Krishna Institute of Medical Sciences, Satara, Maharashtra, India.
Department of Medicine, Krishna Institute of Medical Sciences, Satara, Maharashtra, India.
Catheter Cardiovasc Interv. 2017 Dec 1;90(7):1117-1120. doi: 10.1002/ccd.27376. Epub 2017 Oct 25.
A pneumopericardium is a collection of air or gas in the pericardial sac which may cause cardiac tamponade, known as tension pneumopericardium. Tension pneumopericardium is a rare and lethal presentation of bronchopericardial fistula. There are very few reports in the literature of patients surviving with this condition, although prompt diagnosis and early intervention are important. Treatment options are limited. We present a rare case of tension pneumopericardium with cardiogenic shock due to bronchopericardial fistula in a patient with bronchogenic carcinoma who was successfully treated with transpericardial intervention.
心包积气是指心包腔内积聚空气或气体，可能导致心脏压塞，即张力性心包积气。张力性心包积气是支气管心包瘘的一种罕见且致命的表现形式。尽管及时诊断和早期干预很重要，但文献中关于患有这种疾病仍存活的患者的报道非常少。治疗选择有限。我们报告了一例因支气管肺癌导致支气管心包瘘引起的张力性心包积气并伴有心源性休克的罕见病例，该患者通过经心包干预成功治愈。
