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The Macklin effect causing a pneumopericardium

Sekhar Aravind; Raheja, Prafull; Ikram, Sohail
Journal of Cardiovascular Medicine: Post Author Corrections: July 16, 2012
doi: 10.2459/JCM.0b013e328356bc37
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Pleuropericarditis is a common clinical entity that has been reported in association with several diseases. However, pleuropericarditis following blunt thoracic trauma is very rare and difficult to diagnose. Here we present a case of a young man who presented to the emergency department with acute shortness of breath following a motor vehicle accident. He was found to have a pleuro-pericardial communication worsened by barotrauma, resulting in tension pneumopericardium.

Correspondence to Sohail Ikram, MD, FACC, Cardiology, University of Louisville, ACB 3rd Floor, 550 S. Jackson St., Louisville, Kentucky 40202, USATel: +1 502 852 4379; fax: +1 502 852 6474; e-mail:

Received 27 May, 2012

Accepted 6 June, 2012

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