Cardiac Tamponade Due to Intrapericardial Hernia Mimicking ST-Segment Elevation Myocardial Infarction

Tomohiro Abe, MD, PhD; Hiroaki Kijima, MD, PhD; Jiro Ohuchida, MD, PhD; Yosuke Hisashi, MD; Shuji Tachioka, MD; Kenshi Iwatani, MD; Keisuke Sadohara, MD; Tatsunori Ameda, MD; Hidenobu Ochiai, MD, PhD

JACC: Case Reports (Jun 2024)

Cardiac Tamponade Due to Intrapericardial Hernia Mimicking ST-Segment Elevation Myocardial Infarction

Tomohiro Abe, MD, PhD,
Hiroaki Kijima, MD, PhD,
Jiro Ohuchida, MD, PhD,
Yosuke Hisashi, MD,
Shuji Tachioka, MD,
Kenshi Iwatani, MD,
Keisuke Sadohara, MD,
Tatsunori Ameda, MD,
Hidenobu Ochiai, MD, PhD

Affiliations

Tomohiro Abe, MD, PhD: Department of Emergency Medicine, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan; Department of Emergency and Critical Care Medicine, University of Miyazaki Hospital, Miyazaki City, Japan; Address for correspondence: Dr Tomohiro Abe, Cardiovascular Biology Research Program, Oklahoma Medical Research Foundation, 825 NE 13th Street, Oklahoma City, Oklahoma 73104, USA.
Hiroaki Kijima, MD, PhD: Department of Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan
Jiro Ohuchida, MD, PhD: Department of Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan
Yosuke Hisashi, MD: Department of Cardiovascular Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan. Dr Abe, Cardiovascular Biology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma; Dr Kijima, Kijima Clinic, Miyazaki, Japan; Dr Hisashi, Haruyama Clinic, Miyazaki, Japan; Dr Tachioka, Department of Cardiovascular Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan; Dr Iwatani, En Home Clinic, Nobeoka City, Miyazaki, Japan; and Dr Sadohara, Department of Internal Medicine, Chiyoda Hospital, Hyuga City, Miyazaki, Japan
Shuji Tachioka, MD: Department of Cardiovascular Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan. Dr Abe, Cardiovascular Biology Research Program, Oklahoma Medical Research Foundation, Oklahoma City, Oklahoma; Dr Kijima, Kijima Clinic, Miyazaki, Japan; Dr Hisashi, Haruyama Clinic, Miyazaki, Japan; Dr Tachioka, Department of Cardiovascular Surgery, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan; Dr Iwatani, En Home Clinic, Nobeoka City, Miyazaki, Japan; and Dr Sadohara, Department of Internal Medicine, Chiyoda Hospital, Hyuga City, Miyazaki, Japan
Kenshi Iwatani, MD: Department of Emergency Medicine, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan
Keisuke Sadohara, MD: Department of Emergency Medicine, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan
Tatsunori Ameda, MD: Department of Emergency Medicine, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan
Hidenobu Ochiai, MD, PhD: Department of Emergency and Critical Care Medicine, University of Miyazaki Hospital, Miyazaki City, Japan

Journal volume & issue: Vol. 29, no. 11
p. 102348

Abstract

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Intrapericardial hernia is a diaphragmatic hernia that extremely rarely causes cardiac tamponade. We present a case of a cardiac tamponade caused by an intrapericardial hernia in a 78-year-old male patient with a history of coronary artery bypass grafting, mimicking ST-segment elevation myocardial infarction, which was successfully treated by emergent laparotomy.

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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