Acute Delayed Tension Pneumopericardium: The First Reported Case After Elective Lobectomy  Salvatore Torre, MD, Jennifer Lee, MB, BCh, Stephen O’Connor,

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Acute Delayed Tension Pneumopericardium: The First Reported Case After Elective Lobectomy  Salvatore Torre, MD, Jennifer Lee, MB, BCh, Stephen O’Connor, MD, Sarah A. Early, FRCSI, Ronan Ryan, FRCSI  The Annals of Thoracic Surgery  Volume 104, Issue 4, Pages e333-e335 (October 2017) DOI: 10.1016/j.athoracsur.2017.04.064 Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Computed tomography scan axial section showing left upper lobe mass. (B) Positron emission tomography–computed tomography axial section showing left upper lobe mass. The Annals of Thoracic Surgery 2017 104, e333-e335DOI: (10.1016/j.athoracsur.2017.04.064) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Chest radiograph showing massive pneumopericardium. (AP = antero-posterior; L = left side.) The Annals of Thoracic Surgery 2017 104, e333-e335DOI: (10.1016/j.athoracsur.2017.04.064) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Computed tomography scan confirming presence of massive pneumopericardium and compression of heart chambers. The Annals of Thoracic Surgery 2017 104, e333-e335DOI: (10.1016/j.athoracsur.2017.04.064) Copyright © 2017 The Society of Thoracic Surgeons Terms and Conditions