Delayed Tamponade after Traumatic Wound with Left Ventricular Compression

被引:3
作者
Almehmadi, Fahad [1 ,2 ]
Chandy, Mark [1 ]
Connelly, Kim A. [1 ,3 ,4 ]
Edwards, Jeremy [1 ,4 ]
机构
[1] Univ Toronto, Div Cardiol, Dept Med, Toronto, ON, Canada
[2] King Saud Bin Abdulaziz Univ Hlth Sci, Jeddah, Saudi Arabia
[3] Univ Toronto, St Michaels Hosp, Li Ka Shing Knowledge Inst, Keenan Biomed Res Ctr, Toronto, ON, Canada
[4] Univ Toronto, St Michaels Hosp, Terrence Donnelly Heart Ctr, Div Cardiol, Toronto, ON, Canada
关键词
D O I
10.1155/2016/2154748
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Delayed cardiac tamponade after a penetrating chest injury is a rare complication. The clinical diagnosis of tamponade is facilitated with imaging. We present a case report of a 23-year-old male who was brought to emergency after multiple stab wounds to the chest. After resuscitation and repair of laceration of right internal mammary artery and right ventricle, he was discharged but later returned with shortness of breath. Echocardiography revealed a rare case of delayed pericardial tamponade causing left ventricular collapse. The pericardial effusion was treated with emergent pericardiocentesis and later required a thoracoscopy guided pericardial window for definitive management.
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页数:3
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