Pericardial effusion can develop in patients with acute pericarditis or association a wide variety of systemic diseases and is characterized as transudative, exudative, pyopericardium, hemopericardium. Large effusions are usually related to tuberculous neoplastic effusions. Primary pericardial tumors rare, the vast majority cases resulting from secondary tumors. may be present 7% 53% cancer cor...

The management of hemodynamically normal patients with retained intra-pericardial foreign body remains a matter of conjecture. The available literature supports non-operative management of such innocuous foreign bodies. We report our experience of a hemodynamically normal patient with a retained intra-pericardial pellet from a firearm injury. He initially received successful non-operative manag...

Percutaneous vertebroplasty is a relatively easy and minimally invasive procedure used in treating vertebral fractures. However, the procedure has many complications, one of which is bone cement leakage, which happens frequently. Leakage to the paravertebral venous system, in particular, may lead to especially devastating consequences. Here we report a case of a 65-year-old male patient with an...

Abullet located in the interventricular septum is shown in frontal (A) and right lateral (B) chest radiography and in an echocardiogram (C; RA indicates right atrium; RV, right ventricle; LA, left atrium; and LV, left ventricle. Superior white arrow, labeled BULLET, shows the bullet located at the interventricular septum). It is from a 37-year-old policeman who was shot while on duty. The bulle...

Cardiac tamponade resulting from hemopericardium after a thoracic trauma is a relatively common occurrence. We report on 2 cases of extrapericardial cardiac tamponade, a condition that is definitely less common although potentially life threatening. Both patients underwent sternotomic cardiac decompression and were transferred to ICU: the first patient died of neurological damage, the second pa...

Spontaneous laceration of the ascending aorta may result in (1) through-and-through laceration causing hemopericardium, (2) limited intramural dissection of blood (incomplete dissecting aneurysm), or (3) classical dissecting aneurysm. The latter is the most common manifestation. Background conditions include either extensive cystic medial necrosis (as may be seen in Marfan's syndrome) or hypert...

Blunt traumatic cardiac rupture is rare and associated with high mortality. The most popular theory of cardiac rupture after blunt thoracic trauma is rapid deceleration with disruption of the atria from their connections to the vena cava and pulmonary veins. In cases with both massive hemothorax and hemopericardium, injury can usually originate from the heart and/or major vessels. Surgical appr...