The patient is a 78-year-old man who underwent aortic valve replacement and coronary artery bypass grafting through a standard median sternotomy. Several weeks postoperatively he experienced minor sternal instability identified after partial wound opening. Treatment with frequent wet-to-dry dressing changes yielded a clean wound with formation of healthy granulation tissue. After a week of such treatment, a chest roentgenogram demonstrated pneumopericardium (Fig. 1).
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- Tension pneumopericardium after cardiac surgery: a rare but lethal problem.Circulation. 2010; 121: 2079-2080
Published online: April 29, 2015
Accepted: April 18, 2015
Received: March 30, 2015
See page 1303.e13 for disclosure information.
© 2015 Canadian Cardiovascular Society. Published by Elsevier Inc. All rights reserved.