dc.contributor.author | Connelly, Tara M. | |
dc.contributor.author | Kolcow, Walenty | |
dc.contributor.author | Veerasingam, Dave | |
dc.contributor.author | DaCosta, Mark | |
dc.date.accessioned | 2018-09-20T16:03:52Z | |
dc.date.available | 2018-09-20T16:03:52Z | |
dc.date.issued | 2016-10-26 | |
dc.identifier.citation | Connelly, Tara M. Kolcow, Walenty; Veerasingam, Dave; DaCosta, Mark (2016). A severe penetrating cardiac injury in the absence of cardiac tamponade. Interactive CardioVascular and Thoracic Surgery 24 (2), 286-287 | |
dc.identifier.issn | 1569-9293,1569-9285 | |
dc.identifier.uri | http://hdl.handle.net/10379/10874 | |
dc.description.abstract | Penetrating cardiac injury is rare and frequently not survivable. Significant haemorrhage resulting in cardiac tamponade commonly ensues. Such cardiac tamponade is a clear clinical, radiological and sonographic indicator of significant underlying injury. In the absence of cardiac tamponade, diagnosis can be more challenging. In this case of a 26-year old sailor stabbed at sea, a significant pericardial effusion and cardiac tamponade did not occur despite an injury transversing the pericardium. Instead, the pericardial haemorrhage drained into the left pleural cavity resulting in a haemothorax. This case is notable due to a favourable outcome despite a delay in diagnosis due to a lack of pericardial effusion, a concomitant cerebrovascular event and a long delay from injury to appropriate medical treatment in the presence of a penetrating cardiac wound deep enough to cause a muscular ventricular septal defect and lacerate a primary chordae of the anterior mitral leaflet. | |
dc.publisher | Oxford University Press (OUP) | |
dc.relation.ispartof | Interactive CardioVascular and Thoracic Surgery | |
dc.rights | Attribution-NonCommercial-NoDerivs 3.0 Ireland | |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/3.0/ie/ | |
dc.subject | cardiac trauma | |
dc.subject | cardiac tamponade | |
dc.subject | penetrating chest injury | |
dc.subject | stab wound to chest | |
dc.title | A severe penetrating cardiac injury in the absence of cardiac tamponade | |
dc.type | Article | |
dc.identifier.doi | 10.1093/icvts/ivw342 | |
dc.local.publishedsource | https://academic.oup.com/icvts/article-pdf/24/2/286/16608201/ivw342.pdf | |
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