Volume 13, Issue 4 (Atumn 2005)
JSSU 2005, 13(4): 86-90 |
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Forouzan-nia K, Pirayeh haddad F, Soltani M, Zare S. Diagnosis and Treatment of Penetrating Cardiac Injury One Year after Thoracic Stab Wound. JSSU 2005; 13 (4) :86-90
URL: http://jssu.ssu.ac.ir/article-1-710-en.html
URL: http://jssu.ssu.ac.ir/article-1-710-en.html
Abstract: (7338 Views)
In any patient with a history of penetrating thoracic trauma, cardiac injury must be kept in mind. Here,
we describe a 36 years-old female referred to this hospital with severe chest pain and hypotension. After
primary evaluation and suggestion of AMI, streptokinase was started for the patient and because of
deterioration of vital signs, cardiac surgery consultation was requested. After performing urgent
echocardiography, massive pericardial tamponade was detected. Visualization of a knife blade on C.X.R and
past medical history of thoracic stab injury led to a diagnosis of delayed cardiac tamponade and urgent
sternotomy was performed. The blade that had penetrated the right ventricular chamber was extracted. Six
days after operation, patient was discharged without any problem. This case study suggests the importance of
high suspicion to cardiac injury in any patient with chest pain and a history of chest trauma.
Keywords: Chest Penetrating Trauma, Cardiac Tamponade
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