Management of cardiac tamponade secondary to pneumomediastinum after blunt thoracic trauma

In other cases, it has been attributed to the Macklin effect, first described by Macklin in 1939 as three steps: 1) alveolar rupture after blunt trauma; 2) air dissection along bronchovascular sheaths; and 3) spreading of pulmonary interstitial emphysema into and around the mediastinal structures.3...

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Bibliographic Details
Published in:The American surgeon 2010-06, Vol.76 (6), p.E50-51
Main Authors: Bhullar, Indermeet S, Wagner, Shaun
Format: Article
Language:English
Subjects:
Adolescent
Cardiac Tamponade - diagnostic imaging
Cardiac Tamponade - etiology
Cardiac Tamponade - therapy
Catheters
Drainage - methods
Follow-Up Studies
Humans
Injury Severity Score
Male
Mediastinal Emphysema - diagnostic imaging
Mediastinal Emphysema - etiology
Mediastinal Emphysema - therapy
Oxygen Inhalation Therapy - methods
Radiography
Risk Assessment
Thoracic Injuries - complications
Thoracic Injuries - diagnostic imaging
Treatment Outcome
Wounds, Nonpenetrating - complications
Wounds, Nonpenetrating - diagnostic imaging
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Summary:In other cases, it has been attributed to the Macklin effect, first described by Macklin in 1939 as three steps: 1) alveolar rupture after blunt trauma; 2) air dissection along bronchovascular sheaths; and 3) spreading of pulmonary interstitial emphysema into and around the mediastinal structures.3 This may produce tension pneumomediastinum with cardiac tamponade, although only seven cases of this have been reported in the last 34 years. A 17-year-old boy presented to the emergency room from a juvenile detention center after sustain- ing significant blunt chest trauma.
ISSN:0003-1348
1555-9823
DOI:10.1177/000313481007600607