Document Detail

Delayed cardiac tamponade in a patient with penetrating chest trauma.
MedLine Citation:
PMID:  9017484     Owner:  NLM     Status:  MEDLINE    
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.
C C Mechem; G A Alam
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of emergency medicine     Volume:  15     ISSN:  0736-4679     ISO Abbreviation:  J Emerg Med     Publication Date:    1997 Jan-Feb
Date Detail:
Created Date:  1997-04-02     Completed Date:  1997-04-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8412174     Medline TA:  J Emerg Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  31-3     Citation Subset:  IM    
Department of Emergency Medicine, University of Pennsylvania Medical Center, Philadelphia 19104-4283, USA.
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MeSH Terms
Cardiac Tamponade / diagnosis,  etiology*
Pulmonary Artery / injuries
Thoracic Injuries / complications*
Time Factors
Wounds, Stab / complications*

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