Delayed Tamponade after Traumatic Wound with Left Ventricular Compression

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 l...

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Main Authors: Fahad Almehmadi, Mark Chandy, Kim A. Connelly, Jeremy Edwards
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2016/2154748
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author Fahad Almehmadi
Mark Chandy
Kim A. Connelly
Jeremy Edwards
author_facet Fahad Almehmadi
Mark Chandy
Kim A. Connelly
Jeremy Edwards
author_sort Fahad Almehmadi
collection DOAJ
description 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.
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publishDate 2016-01-01
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series Case Reports in Cardiology
spelling doaj-art-f63690cb38b14e65bebbd55c22cfa0ee2025-02-03T01:08:49ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/21547482154748Delayed Tamponade after Traumatic Wound with Left Ventricular CompressionFahad Almehmadi0Mark Chandy1Kim A. Connelly2Jeremy Edwards3Division of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, CanadaDivision of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, CanadaDivision of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, CanadaDivision of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, CanadaDelayed 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.http://dx.doi.org/10.1155/2016/2154748
spellingShingle Fahad Almehmadi
Mark Chandy
Kim A. Connelly
Jeremy Edwards
Delayed Tamponade after Traumatic Wound with Left Ventricular Compression
Case Reports in Cardiology
title Delayed Tamponade after Traumatic Wound with Left Ventricular Compression
title_full Delayed Tamponade after Traumatic Wound with Left Ventricular Compression
title_fullStr Delayed Tamponade after Traumatic Wound with Left Ventricular Compression
title_full_unstemmed Delayed Tamponade after Traumatic Wound with Left Ventricular Compression
title_short Delayed Tamponade after Traumatic Wound with Left Ventricular Compression
title_sort delayed tamponade after traumatic wound with left ventricular compression
url http://dx.doi.org/10.1155/2016/2154748
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AT markchandy delayedtamponadeaftertraumaticwoundwithleftventricularcompression
AT kimaconnelly delayedtamponadeaftertraumaticwoundwithleftventricularcompression
AT jeremyedwards delayedtamponadeaftertraumaticwoundwithleftventricularcompression