Delayed presentation of cardiac injury four weeks after stabbing

Penetrating trauma to the heart has a high associated mortality due to significant hemorrhage, coronary artery injury, and cardiac tamponade. Such sequelae progress rapidly, often leading to death before reaching hospital. We report a case of delayed presentation following a stab injury to the right...

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Bibliographic Details
Published in:Asian cardiovascular & thoracic annals 2020-01, Vol.28 (1), p.62-64
Main Authors: Ochi, Ayame, Hardikar, Ashutosh A
Format: Article
Language:English
Subjects:
Cardiac Tamponade - diagnostic imaging
Cardiac Tamponade - etiology
Cardiac Tamponade - surgery
Delayed Diagnosis
Heart Injuries - complications
Heart Injuries - diagnostic imaging
Heart Injuries - surgery
Heart Ventricles - diagnostic imaging
Heart Ventricles - injuries
Heart Ventricles - surgery
Humans
Male
Middle Aged
Predictive Value of Tests
Time Factors
Treatment Outcome
Wounds, Stab - complications
Wounds, Stab - diagnostic imaging
Wounds, Stab - surgery
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Summary:Penetrating trauma to the heart has a high associated mortality due to significant hemorrhage, coronary artery injury, and cardiac tamponade. Such sequelae progress rapidly, often leading to death before reaching hospital. We report a case of delayed presentation following a stab injury to the right ventricle. This case highlights the mechanisms that may facilitate a delayed presentation and the importance of appropriate investigation when suspicion of cardiac injury is high.
ISSN:0218-4923
1816-5370
DOI:10.1177/0218492319874271