Document Detail

Unusual manifestations of penetrating cardiac injuries.
MedLine Citation:
PMID:  1191029     Owner:  NLM     Status:  MEDLINE    
Penetrating cardiac injuries frequently first appear in an unusual and insidious manner, and their diagnosis may not be immediately obvious. In a series of 20 cases of cardiac injury, ten cases were indicative of such subtle symptoms, several of which were life-threatening. These unusual manifestations can be categorized as early, intermediate, or late. Early problems of four patients included the following: (1) sudden onset of shock during laparotomy, performed due to apparent abdominal trauma; (2) cardiac arrest on arrival in the emergency room; and (3) cerebral air embolus and mimicked symptoms of possible irreversible anoxic brain damage. The intermediate manifestations of cardiac injury are usually discovered in the early recovery period, and include myocardial infarction with cardiogenic shock and bullet embolus to a peripheral artery. Intermediate manifestations were observed in two patients. Four patients had late complications that included pseudoaneurysm, ventricular septal defect, valvular damage, and recurrent pericarditis. These late complications were observed between one month and 21 years after cardiac injury. This indicates the necessity of long-term follow-up of these patients.
M Fallah-Nejad; H W Wallace; C C Su; A C Kutty; W S Blakemore
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  110     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1975 Nov 
Date Detail:
Created Date:  1976-01-10     Completed Date:  1976-01-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1357-62     Citation Subset:  AIM; IM    
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MeSH Terms
Embolism / etiology
Heart Arrest / etiology
Heart Injuries / complications,  diagnosis*
Heart Septal Defects, Ventricular / etiology
Heart Valve Diseases / etiology
Intracranial Embolism and Thrombosis / etiology
Middle Aged
Mitral Valve
Pericarditis / etiology
Shock, Cardiogenic / etiology
Shock, Surgical / etiology
Time Factors
Wounds, Gunshot / diagnosis
Wounds, Penetrating / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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