Document Detail

Cardiac herniation mimics cardiac tamponade in blunt trauma. Must early resuscitative thoracotomy be done?
MedLine Citation:
PMID:  11890345     Owner:  NLM     Status:  MEDLINE    
Blunt rupture of the pericardium is a rare injury. Strangulated cardiac hernia following blunt trauma is one cause of reversible cardiac arrest. Traumatic pericardial tears usually have delayed diagnoses and carry high mortality rates (64%). Clinical signs mimic cardiac tamponade during the primary survey. We report here two cases of blunt trauma. Both patients arrived alive in the emergency room and presented signs of cardiac tamponade caused by pericardial rupture.
F S Collet e Silva; F José Neto; A M Figueredo; B Fontes; R S Poggetti; D Birolini
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International surgery     Volume:  86     ISSN:  0020-8868     ISO Abbreviation:  Int Surg     Publication Date:    2001 Jan-Mar
Date Detail:
Created Date:  2002-03-13     Completed Date:  2002-09-05     Revised Date:  2009-11-11    
Medline Journal Info:
Nlm Unique ID:  0043524     Medline TA:  Int Surg     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  72-5     Citation Subset:  IM    
Emergency Surgery Department, The Hospital Das Clinicas University of São Paulo School of Medicine, Sao Paulo, Brazil.
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MeSH Terms
Accidents, Traffic
Cardiac Tamponade / diagnosis
Diagnosis, Differential
Fatal Outcome
Heart Rupture / diagnosis,  surgery*
Middle Aged
Pericardium / injuries*
Wounds, Nonpenetrating / diagnosis,  surgery*

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