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 Table of Contents  
IMAGES IN CARDIOTHORACIC TRAUMA
Year : 2018  |  Volume : 3  |  Issue : 1  |  Page : 28

Cardiac herniation into left pleural space and huge subcutaneous emphysema


Surgery Institute of Amazonas' State, Manaus, Amazonas, Brazil

Date of Web Publication20-Dec-2018

Correspondence Address:
Bruno Josť da Costa Medeiros
Surgery Institute of Amazonas' State, Manaus, Amazonas
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jctt.jctt_8_18

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How to cite this article:
da Costa Medeiros BJ. Cardiac herniation into left pleural space and huge subcutaneous emphysema. J Cardiothorac Trauma 2018;3:28

How to cite this URL:
da Costa Medeiros BJ. Cardiac herniation into left pleural space and huge subcutaneous emphysema. J Cardiothorac Trauma [serial online] 2018 [cited 2020 Sep 21];3:28. Available from: http://www.jctt.org/text.asp?2018/3/1/28/248106



A patient male, 45 years of age was brought to our trauma hospital after fall from a light pole (7 m of high), presenting shortness of breath and a huge subcutaneous emphysema. After the first assessment (oxygen supply and analgesia), the patient got better. He was transferred to imaging department; a computed tomography scan was performed. A huge subcutaneous emphysema surrounding the entire chest [Figure 1], a cardiac herniation into left pleural space [Figure 2] and a bilateral pneumothorax and right hemothorax were observed. The patient underwent bilateral blunt chest tube thoracostomy after that was transferred to cardiothoracic unit. He recovered well from the thoracotomy executed by cardiothoracic team.
Figure 1: Huge subcutaneous emphysema surrounding the entire chest, small right hemothorax

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Figure 2: Cardiac herniation into left pleural space, red arrow shows the right circumference of pericardial sac, blue arrow shows the heart herniated into pleural space

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Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed.




    Figures

  [Figure 1], [Figure 2]



 

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