Unusual Delayed Manifestation of a Penetrating Chest Trauma

Pericardial tamponade remains a diagnostic challenge to the clinician especially when the patient is well compensated hemodynamically. We report an unusual case who sought medical help 1 month after having been stabbed in his chest. An investigation revealed a perforation of the myocardium and a per...

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Bibliographic Details
Published in:European journal of trauma 2006-08, Vol.32 (4), p.396-398
Main Authors: Eisenman, Arie, Vasan, Alicia, Joseph, Lemer, Aravot, Dan
Format: Article
Language:English
Subjects:
Case studies
Circulatory system
Stabbings
Trauma
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Summary:Pericardial tamponade remains a diagnostic challenge to the clinician especially when the patient is well compensated hemodynamically. We report an unusual case who sought medical help 1 month after having been stabbed in his chest. An investigation revealed a perforation of the myocardium and a pericardial tamponade. The patient survived thanks to a large organized clot that plugged the perforation. The patient was exposed to increased risk due to delayed onset, recognition, and therapy of the tamponade. Most reports on this subject deal with acute pericardial tamponade. Only few cases of delayed pericardial tamponade have been reported. A review of the relevant literature and the therapeutic approaches are discussed. [PUBLICATION ABSTRACT]
ISSN:1439-0590
1863-9933
1615-3146
1863-9941
DOI:10.1007/s00068-006-5073-x