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Unusual Delayed Manifestation of a PenetratingChest Trauma
Authors:Arie Eisenman   Alicia Vasan   Lemer Joseph  Dan Aravot
Affiliation:(1) Emergency Medicine, The Western Galilee Hospital, Nahariyah, Israel;(2) Cardiology, The Western Galilee Hospital, Nahariyah, Israel;(3) Thoracic surgery, The Western Galilee Hospital, Nahariyah, Israel;(4) Cardiac Surgery, Carmel Medical Center, Haifa, Israel;(5) Emergency Medicine, The Western Galilee Hospital, Nahariyah, Israel
Abstract:Abstract 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.
Keywords:Trauma management and education  Thoracic  Evaluation of care (trauma databases)  Chest trauma
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