Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation

Pneumopericarditis describes a clinical scenario where fluid and air are found within the pericardial space. Although infrequent, pneumopericarditis should be considered in patients presenting with acute chest pain as a differential diagnosis. This is relevant in patients with history of upper gastr...

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Main Authors: Erwin E. Argueta, Menfil A. Orellana-Barrios, Teerapat Nantsupawat, Alvaro Rosales, Scott Shurmur
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2015/256546
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author Erwin E. Argueta
Menfil A. Orellana-Barrios
Teerapat Nantsupawat
Alvaro Rosales
Scott Shurmur
author_facet Erwin E. Argueta
Menfil A. Orellana-Barrios
Teerapat Nantsupawat
Alvaro Rosales
Scott Shurmur
author_sort Erwin E. Argueta
collection DOAJ
description Pneumopericarditis describes a clinical scenario where fluid and air are found within the pericardial space. Although infrequent, pneumopericarditis should be considered in patients presenting with acute chest pain as a differential diagnosis. This is relevant in patients with history of upper gastrointestinal (GI) surgery, as this may lead to a fistula communicating the GI tract and the pericardium. We report a 42-year-old man with history of numerous surgical interventions related to a Nissen fundoplication that presented with acute chest pain and inferior lead ST segment elevations. Emergent coronary angiography was negative for coronary vascular disease but fluoroscopy revealed air in the pericardial space. Subsequent radiographic studies helped confirm air in the pericardial space with a fistulous communication to the stomach. Ultimate treatment for this defect was surgical closure.
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series Case Reports in Cardiology
spelling doaj-art-deb8f538fd734cb0a5a7b6dd5726617e2025-02-03T01:12:16ZengWileyCase Reports in Cardiology2090-64042090-64122015-01-01201510.1155/2015/256546256546Pneumopericarditis: A Case of Acute Chest Pain with ST Segment ElevationErwin E. Argueta0Menfil A. Orellana-Barrios1Teerapat Nantsupawat2Alvaro Rosales3Scott Shurmur4Department of Internal Medicine, Texas Tech University, Lubbock, TX 79430, USADepartment of Internal Medicine, Texas Tech University, Lubbock, TX 79430, USADepartment of Cardiovascular Medicine, Texas Tech University, Lubbock, TX 79430, USADepartment of Cardiovascular Medicine, Texas Tech University, Lubbock, TX 79430, USADepartment of Cardiovascular Medicine, Texas Tech University, Lubbock, TX 79430, USAPneumopericarditis describes a clinical scenario where fluid and air are found within the pericardial space. Although infrequent, pneumopericarditis should be considered in patients presenting with acute chest pain as a differential diagnosis. This is relevant in patients with history of upper gastrointestinal (GI) surgery, as this may lead to a fistula communicating the GI tract and the pericardium. We report a 42-year-old man with history of numerous surgical interventions related to a Nissen fundoplication that presented with acute chest pain and inferior lead ST segment elevations. Emergent coronary angiography was negative for coronary vascular disease but fluoroscopy revealed air in the pericardial space. Subsequent radiographic studies helped confirm air in the pericardial space with a fistulous communication to the stomach. Ultimate treatment for this defect was surgical closure.http://dx.doi.org/10.1155/2015/256546
spellingShingle Erwin E. Argueta
Menfil A. Orellana-Barrios
Teerapat Nantsupawat
Alvaro Rosales
Scott Shurmur
Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation
Case Reports in Cardiology
title Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation
title_full Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation
title_fullStr Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation
title_full_unstemmed Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation
title_short Pneumopericarditis: A Case of Acute Chest Pain with ST Segment Elevation
title_sort pneumopericarditis a case of acute chest pain with st segment elevation
url http://dx.doi.org/10.1155/2015/256546
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