JAMES C. NASH, M.D., F.A.C.P.
Mediastinal 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,1 mediastinal 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. Dannish1 reviewed the pathogenesis of mediastinal emphysema, emphasizing the views of Aisner and Franco2 that precipitating or predisposing factors may be trivial
NASH JC. MEDIASTINAL EMPHYSEMA COMPLICATING MYOCARDIAL INFARCTION AND LEFT VENTRICULAR FAILURE1. Ann Intern Med. ;46:594–600. doi: 10.7326/0003-4819-46-3-594
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Published: Ann Intern Med. 1957;46(3):594-600.
Acute Coronary Syndromes, Cardiology, Coronary Heart Disease, Emergency Medicine, Heart Failure.
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