Delayed Tamponade after Traumatic Wound with Left Ventricular Compression.
Fahad AlmehmadiMark ChandyKim A ConnellyJeremy EdwardsPublished in: Case reports in cardiology (2016)
Delayed cardiac tamponade after a penetrating chest injury is a rare complication. The clinical diagnosis of tamponade is facilitated with imaging. We present a case report of a 23-year-old male who was brought to emergency after multiple stab wounds to the chest. After resuscitation and repair of laceration of right internal mammary artery and right ventricle, he was discharged but later returned with shortness of breath. Echocardiography revealed a rare case of delayed pericardial tamponade causing left ventricular collapse. The pericardial effusion was treated with emergent pericardiocentesis and later required a thoracoscopy guided pericardial window for definitive management.
Keyphrases
- left ventricular
- rare case
- mitral valve
- hypertrophic cardiomyopathy
- heart failure
- cardiac resynchronization therapy
- acute myocardial infarction
- left atrial
- spinal cord injury
- high resolution
- cardiac arrest
- public health
- emergency department
- pulmonary hypertension
- wound healing
- squamous cell carcinoma
- photodynamic therapy
- pulmonary arterial hypertension
- congenital heart disease
- radiation therapy
- rectal cancer
- septic shock
- emergency medical
- newly diagnosed
- surgical site infection