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Case ReportOpen Access

A Rare Case of Spontaneous Pneumopericardium

Abdallah Almaghraby1*, Ahmed Samoka1, Mahmoud Shehata2, Hoda Zahran2, Yehia Saleh1, and Basma Hammad3

DOI: 10.26717/BJSTR.2017.01.000101

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    1Department of Cardiology, University of Alexandria, Egypt

    2Department of Cardiac, Thoracic and Vascular Sciences, University of Padova, Italy

    3Massachusetts General Hospital, Boston, USA

    *Corresponding author : Abdallah Almaghraby, Department of Cardiology, University of Alexandria, Egypt

Received: April 11, 2017   Published: May 16, 2017

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A 54-year-old man presented with a 6-hour history of acute typical retrosternal chest pain that occurred during minor exertion and was persistent from the start and not relieved by analgesics. His medical history was unremarkable, he was a heavy smoker. His clinical examination was unremarkable. His electrocardiogram (ECG) showed ST segment elevation in the inferior leads with PR depression in the anterior leads. His chest X-ray (CXR) lead (Figure 1) to a suspicion of intra-pericardial collection of air. His laboratory results were all normal except for mild elevation in cardiac enzymes. Echocardiography showed normal study, the suspicion of the intra-pericardial air collection had led us to do a chest computed tomography (CT) (Figure 2) which revealed the presence of air inside the pericardium. The patient was still in intractable pain with serial elevating cardiac enzymes so we decided to do coronary angiography that revealed normal coronaries (Figure 3).

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