MEDIASTINAL EMPHYSEMA COMPLICATING MYOCARDIAL INFARCTION AND LEFT VENTRICULAR FAILURE
Authors: J C NASH
Journal: Annals of Internal Medicine (1957)

Case Reports1 March 1957MEDIASTINAL EMPHYSEMA COMPLICATING MYOCARDIAL INFARCTION AND LEFT VENTRICULAR FAILUREJAMES C. NASH, M.D., F.A.C.P.JAMES C. NASH, M.D., F.A.C.P.Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-46-3-594 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptMediastinal emphysema, precipitated by acute failure of the left ventricle following myocardial infarction, must be considered of rare occurrence since a survey of the literature reveals only one previously reported case. In the patient reported by Dannish,1mediastinal emphysema was manifested by the sudden appearance of air in the subcutaneous tissues of the neck and supraclavicular areas, and occurred on the fourth day following acute left ventricular failure which had complicated posterior myocardial infarction. The patient eventually recovered. Dannish1reviewed the pathogenesis of mediastinal emphysema, emphasizing the views of Aisner and Franco2that precipitating or predisposing factors may be trivial...Bibliography1. Dannish JM: Mediastinal emphysema complicating myocardial infarction, New England J. Med. 250: 677-679 (Apr. 22) 1954. CrossrefMedlineGoogle Scholar2. AisnerFranco MJE: Mediastinal emphysema, New England J. Med. 241: 818-825, 1949. CrossrefMedlineGoogle Scholar3. LindskogLiebow GEAA: Thoracic surgery and related pathology, 1953, Appleton-Century-Crofts, Inc., New York. Google Scholar4. Hamman L: Mediastinal emphysema, J. A. M. A. 128: 1-6, 1945. CrossrefGoogle Scholar5. Hamman L: Spontaneous mediastinal emphysema, Henry Sewall Lecture, Bull. Johns Hopkins Hosp. 64: 1-21, 1939. Google Scholar6. MacklinMacklin MTCC: Malignant interstitial emphysema of lungs and mediastinum as important occult complications in many respiratory diseases and other conditions: interpretation of clinical literature in light of laboratory experiment, Medicine 23: 281-358, 1944. CrossrefGoogle Scholar7. Macklin CC: Spontaneous mediastinal emphysema: review and comment, M. Rec. 150: 5-7, 1939. Google Scholar8. Rubin EH: Diseases of the chest 1947, W. B. Saunders Company, Philadelphia. Google Scholar9. Hochberg LA: The thoracic surgical patient, 1952, Grune and Stratton, New York. Google Scholar10. BallonFrancis HCBF: Consequences of variations in mediastinal pressure: mediastinal and subcutaneous emphysema, Arch. Surg. 19: 1627-1659, 1929. CrossrefGoogle Scholar11. MasterKalterDach AMHHS: Spontaneous pneumothorax simulating acute coronary occlusion, J. Mt. Sinai Hosp. 8: 89, 1941. Google Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: Decatur, Alabama*Received for publication September 7, 1955.Requests for reprints should be addressed to James C. Nash, M.D., Decatur Clinic, Decatur, Alabama. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetails Metrics 1 March 1957Volume 46, Issue 3Page: 594-600KeywordsDyspneaEdemaEmphysemaLeft ventricleMyocardial infarctionPathogenesisThrombosis Issue Published: 1 March 1957 PDF DownloadLoading ...