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Pediatr Neonatol. 2013 Dec;54(6):406-8. doi: 10.1016/j.pedneo.2012.12.001. Epub 2013 Jan 21.

Post-traumatic left ventricular aneurysm with massive hemopericardium in a child presenting 3 years after a fall.

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  • 1Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan.

Abstract

A 7-year-old boy developed a left ventricular aneurysm with massive hemopericardium 3 years ago due to a fall from a fourth-floor window. He had mild neurological sequelae including cranial nerve III palsy and abnormal electroencephalography findings at that time. He had no chest pain until recently when he presented with chest tightness and abdominal pain for 2 days prior to admission. Chest X-ray showed marked cardiomegaly. Echocardiography revealed massive pericardial effusion and a large left ventricular aneurysm. The massive hemopericardium was surgically drained, and the aneurysm was resected under cardiopulmonary bypass. He was discharged uneventfully 1 week after operation. Because symptoms and signs can vary in patients with ventricular aneurysm, we strongly suggest a close clinical follow-up, preferably with chest X-ray or echocardiography, for patients experiencing a blunt chest trauma.

Copyright © 2012. Published by Elsevier B.V.

KEYWORDS:

child; hemopericardium; left ventricular aneurysm; trauma

PMID:
23597547
[PubMed - indexed for MEDLINE]
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