Heart failure due to a post-traumatic calcified pericardial hematoma

Chest-wall trauma can produce bleeding into the pericardium and initiate a process of inflammation, calcification, and scarring that may eventually produce pericardial constriction. Herein, we present an unusual case of a man who experienced chest trauma at age 16 years, and developed heart failure...

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Bibliographic Details
Published inTexas Heart Institute journal Vol. 35; no. 3; pp. 345 - 348
Main Authors Manhas, Amit H, Martin, Robert T, Reul, George J, Stainback, Raymond F
Format Journal Article
LanguageEnglish
Published United States Texas Heart Institute 2008
Subjects
Adolescent
Adult
Calcinosis - diagnosis
Calcinosis - surgery
Case Report
Diagnosis, Differential
Echocardiography
Fatal Outcome
Follow-Up Studies
Heart Failure - etiology
Heart Failure - surgery
Hematoma - diagnosis
Hematoma - surgery
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Pericardial Effusion - diagnosis
Pericardial Effusion - surgery
Pericardiectomy
Pericarditis, Constrictive - diagnosis
Pericarditis, Constrictive - surgery
Thoracic Injuries - complications
Wounds, Nonpenetrating - complications
pericarditis, constrictive/diagnosis/etiology/physiopathology/radiography
echocardiography, Doppler, pulsed
time factors
Calcinosis/complications/etiology
heart injuries/complications/pathology
pericardium/physiology
cardiomyopathy, restrictive/physiopathology/ultrasonography
hematoma/complications/etiology
thoracic injuries/complications
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Summary:Chest-wall trauma can produce bleeding into the pericardium and initiate a process of inflammation, calcification, and scarring that may eventually produce pericardial constriction. Herein, we present an unusual case of a man who experienced chest trauma at age 16 years, and developed heart failure 40 years later secondary to a large, calcified pericardial hematoma. During its prolonged genesis, the pericardial mass became deeply embedded in the myocardium and produced evidence of both constrictive and restrictive cardiomyopathy. Despite attempted surgical resection, the lesion could not be completely removed, nor could its hemodynamic impact be completely resolved.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0730-2347
1526-6702