[Dyspnea, cough and tachycardia]

Med Klin Intensivmed Notfmed. 2012 May;107(4):285-8. doi: 10.1007/s00063-012-0085-2. Epub 2012 Feb 18.
[Article in German]

Abstract

Pneumopericardium is known as a rare complication following cardiothoracic surgery or intravenous line placement. Baseline examination including chest x-ray may lead to diagnosis. To prevent cardiac tamponade, pericardiotomy or adaequate pericardial drainage is crucial. We revealed pneumopericardium as the reason for new dyspnea and tachycardia in a 56-year-old man 3 weeks after lobectomy and lymphadenectomy because of a non-small cell lung cancer. Early decision for transpleural pericardiotomy prevented a possibly lethal course.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Carcinoma, Non-Small-Cell Lung / pathology
  • Carcinoma, Non-Small-Cell Lung / surgery*
  • Cough / etiology*
  • Diagnosis, Differential
  • Dyspnea / etiology*
  • Electrocardiography
  • Fistula / complications
  • Fistula / diagnosis
  • Heart Diseases / complications
  • Heart Diseases / diagnosis
  • Humans
  • Lung Neoplasms / pathology
  • Lung Neoplasms / surgery*
  • Lymph Node Excision*
  • Male
  • Middle Aged
  • Neoplasm Staging
  • Pericardium
  • Pneumonectomy*
  • Pneumopericardium / diagnosis*
  • Pneumopericardium / etiology
  • Postoperative Complications / diagnosis*
  • Postoperative Complications / etiology
  • Respiratory Tract Fistula / complications
  • Respiratory Tract Fistula / diagnosis
  • Signal Processing, Computer-Assisted
  • Tachycardia / etiology*
  • Tomography, X-Ray Computed
  • Tracheal Diseases / complications
  • Tracheal Diseases / diagnosis