Document Detail

Management problems of coincident traumatic diaphragmatic hernia and myocardial infarction.
MedLine Citation:
PMID:  3212774     Owner:  NLM     Status:  MEDLINE    
A 32 year old man suffered a traffic accident, and was admitted to the Emergency Department with closed left-sided chest injury. Subsequent standard procedures revealed a traumatic rupture of the diaphragm and resulting hernia. The surgical treatment of these lesions was without complications. Postoperative monitoring showed a persistent elevation of the ST segment, which was considered to be due to the original trauma. After 14 days the patient was discharged, but at a precautionary follow-up two months later coronary angiography revealed severe ischaemic disease and ventricular aneurysm. The diagnostic and management problems of cases such as this are discussed. It is concluded that one should not be tempted by the youth or apparent good health of the patient to take short-cuts at any stage.
M Chidamdaram; K S Eyres; Z Szabolcs; M I Ionescu
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  36     ISSN:  0171-6425     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  1988 Jun 
Date Detail:
Created Date:  1989-02-16     Completed Date:  1989-02-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  GERMANY, WEST    
Other Details:
Languages:  eng     Pagination:  167-9     Citation Subset:  IM    
Department of Cardiothoracic Surgery, General Infirmary, Leeds, England.
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MeSH Terms
Accidents, Traffic*
Hernia, Diaphragmatic, Traumatic / surgery*
Myocardial Infarction / complications*,  diagnosis
Postoperative Complications / diagnosis

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