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

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

doi:10.1016/j.jaccas.2024.102348

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

JACC Case Rep. 2024 Apr 20;29(11):102348. doi: 10.1016/j.jaccas.2024.102348. eCollection 2024 Jun 5.

Authors

Tomohiro Abe^{1

2}, Hiroaki Kijima³, Jiro Ohuchida³, Yosuke Hisashi⁴, Shuji Tachioka⁴, Kenshi Iwatani¹, Keisuke Sadohara¹, Tatsunori Ameda¹, Hidenobu Ochiai²

Affiliations

¹ Department of Emergency Medicine, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan.
² Department of Emergency and Critical Care Medicine, University of Miyazaki Hospital, Miyazaki City, Japan.
³ Department of Surgery, Miyazaki Prefectural Miyazaki Hospital, Miyazaki City, Japan.
⁴ 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.

Abstract

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.

Keywords: computed tomography; coronary artery bypass; electrocardiogram; hemodynamics; myocardial infarction; postoperative; tamponade; ultrasound.

Publication types

Case Reports