| Absence of hemodynamic and ECG changes in a patient with traumatic left ventricular injury and puncture of the left anterior descending branch. | |
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MedLine Citation:
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PMID: 11145409 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Patients with penetrating cardiac injury usually present with cardiac tamponade and shock upon hospital arrival. However, absence of hemodynamic depression does not exclude a potentially fatal injury of the heart. This article reports on a patient who developed neither hemodynamic depression nor ECG changes for several hours, despite two left ventricular lacerations with puncture of the LAD. Echocardiography is advocated as the diagnostic tool of choice, and it is emphasized that no penetrating objects should be removed from the wound before surgical access to the heart is established, as this may result in the sudden development of cardiac tamponade. |
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Authors:
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M Südkamp; H J Geissler; E R de Vivie |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Thoracic and cardiovascular surgeon Volume: 48 ISSN: 0171-6425 ISO Abbreviation: Thorac Cardiovasc Surg Publication Date: 2000 Dec |
Date Detail:
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Created Date: 2000-12-28 Completed Date: 2001-03-01 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: Germany |
Other Details:
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Languages: eng Pagination: 373-5 Citation Subset: IM |
Affiliation:
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Department of Cardiothoracic Surgery, University of Cologne, Germany. michael.suedkamp@medizin.uni-koeln.de |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Coronary Vessels
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injuries* Electrocardiography* Foreign Bodies / surgery Heart Injuries / physiopathology*, radiography, surgery Heart Ventricles Hemodynamics* Humans Male Middle Aged Radiography, Thoracic Wounds, Penetrating / physiopathology*, radiography, surgery |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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