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Air bubbles around the heart: a rare case report of pneumohydropericardium in heart transplantation.


ABSTRACT:

Background

Pneumohydropericardium is a rare but significant condition characterized by the presence of both air and fluid in the pericardial space. It is often associated with trauma, invasive procedures, or thoracic pathologies, and its occurrence following heart transplantation is particularly unusual. Early recognition is essential to prevent complications such as cardiac tamponade, although conservative management can be effective in cases without haemodynamic compromise.

Case summary

We present the case of a 40-year-old woman with a history of hypokinetic-dilative cardiomyopathy and heterozygous for TNNT2 gene mutation (c.547C>T p.Arg183Trp), who underwent orthotopic heart transplantation. Following the procedure, she developed pneumohydropericardium, identified by echo

SUBMITTER: Brucato F 

PROVIDER: S-EPMC11851115 | biostudies-literature | 2025 Feb

REPOSITORIES: biostudies-literature