alexa Fatal Tension Pneumopericardium in an Extremely Low Bir
ISSN: 2161-0665

Pediatrics & Therapeutics
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Case Report

Fatal Tension Pneumopericardium in an Extremely Low Birth Weight Infant to Identify the Perforation Site of the Pericardium

Daisuke Muto, Hiroki Kakita*, Satoru Takeshita, Hiroko Ueda, Tatenobu Goto and Yasumasa Yamada

Department of Perinatal and Neonatal Medicine, Aichi Medical University, Japan

*Corresponding Author:
Hiroki Kakita
Department of Perinatal and Neonatal Medicine
Aichi Medical University, 1-1 Yazako
Karimata, Nagakute, Aichi 480-1195, Japan
Tel: 81 561 62 3311
Fax: 81 561 61 1864
E-mail: [email protected], [email protected]

Received Date: January 27, 2016 Accepted Date: February 11, 2016 Published Date: February 15, 2016

Citation:Muto D, Kakita H, Takeshita S, Ueda H, Goto T, et al. (2016) Fatal Tension Pneumopericardium in an Extremely Low Birth Weight Infant to Identify the Perforation Site of the Pericardium. Pediatr Ther 6:277. doi:10.4172/2161-0665.1000277

Copyright: © 2016 Muto D, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.



A pneumopericardium is a very rare condition and is the least common form of air leak in neonates. A tension pneumopericardium is associated with very high mortality. Neonatal pneumopericardium is usually a complication of mechanical ventilation in premature infants with respiratory distress syndrome. The mechanism of this rare condition and the perforation site of the pericardium have largely been speculative. This case report documents an extremely low birth weight infant who developed fatal tension pneumopericardium, and the autopsy revealed airflow into the pericardial sac through a perforation site of the pericardium near the ostia of the right pulmonary vein. This is a valuable case in which the perforation site of the pericardium was confirmed.


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