| Delayed cardiac tamponade in a patient with penetrating chest trauma. | |
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MedLine Citation:
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PMID: 9017484 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We describe a case of cardiac tamponade due to pulmonary artery laceration as a late sequela in a patient who had sustained penetrating chest trauma. A 35-yr-old man presented to our emergency department complaining of pleuritic left chest pain, shortness of breath, and fever 19 days after being hospitalized for a stab wound to the left chest. During his first hospitalization, chest X-ray study, echocardiogram, and central venous pressure determination were all normal. On second presentation, he had a cardiac tamponade and underwent a median sternotomy. A pulmonary artery laceration was discovered and repaired. The postoperative course was complicated by readmission for postcardiotomy syndrome. This case demonstrates that late and unexpected complications can occur in patients with penetrating chest trauma and a normal initial evaluation. |
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Authors:
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C C Mechem; G A Alam |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The Journal of emergency medicine Volume: 15 ISSN: 0736-4679 ISO Abbreviation: J Emerg Med Publication Date: 1997 Jan-Feb |
Date Detail:
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Created Date: 1997-04-02 Completed Date: 1997-04-02 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8412174 Medline TA: J Emerg Med Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 31-3 Citation Subset: IM |
Affiliation:
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Department of Emergency Medicine, University of Pennsylvania Medical Center, Philadelphia 19104-4283, USA. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Cardiac Tamponade / diagnosis, etiology* Humans Male Pulmonary Artery / injuries Thoracic Injuries / complications* Time Factors Wounds, Stab / complications* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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