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A cardiac injury and pericardial tamponade following a stab wound to the chest: a case report

A stab wound in the heart is associated with high mortality rates. Rapid patient transfer to the closest hospital, maximal speed in establishing a diagnosis, and highly trained prompt surgical intervention are all crucial to achieving a positive result in the treatment of these critical patients. CA...

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Autores principales: Naseer, Osama R., Rishi, Mahjoub B., Alsherbini, Mohamed G., Sahoub, Haytham A., Gelia, Abdulhakim, Elside, Essam, Taggaz, Khaled S.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289567/
https://www.ncbi.nlm.nih.gov/pubmed/37363485
http://dx.doi.org/10.1097/MS9.0000000000000637
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author Naseer, Osama R.
Rishi, Mahjoub B.
Alsherbini, Mohamed G.
Sahoub, Haytham A.
Gelia, Abdulhakim
Elside, Essam
Taggaz, Khaled S.
author_facet Naseer, Osama R.
Rishi, Mahjoub B.
Alsherbini, Mohamed G.
Sahoub, Haytham A.
Gelia, Abdulhakim
Elside, Essam
Taggaz, Khaled S.
author_sort Naseer, Osama R.
collection PubMed
description A stab wound in the heart is associated with high mortality rates. Rapid patient transfer to the closest hospital, maximal speed in establishing a diagnosis, and highly trained prompt surgical intervention are all crucial to achieving a positive result in the treatment of these critical patients. CASE PRESENTATION: This report presents a 28-year-old man with a stab wound to the chest, causing pericardial tamponade and a myocardial injury that presented with shock. The patient was diagnosed by chest ultrasonography and operated on successfully after 45 min of the stab without complications. CLINICAL DISCUSSION AND CONCLUSION: Cardiac repair should be attempted as soon as possible if the patient with the stab wound to the heart is not dead upon arrival. The time from the stabbing to the start of the operation is vital, and any delay in the operation may lose the patient. Glasgow Coma Scale could be considered as predicting variable for complications or mortality in patients with stab heart wounds.
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spelling pubmed-102895672023-06-24 A cardiac injury and pericardial tamponade following a stab wound to the chest: a case report Naseer, Osama R. Rishi, Mahjoub B. Alsherbini, Mohamed G. Sahoub, Haytham A. Gelia, Abdulhakim Elside, Essam Taggaz, Khaled S. Ann Med Surg (Lond) Case Reports A stab wound in the heart is associated with high mortality rates. Rapid patient transfer to the closest hospital, maximal speed in establishing a diagnosis, and highly trained prompt surgical intervention are all crucial to achieving a positive result in the treatment of these critical patients. CASE PRESENTATION: This report presents a 28-year-old man with a stab wound to the chest, causing pericardial tamponade and a myocardial injury that presented with shock. The patient was diagnosed by chest ultrasonography and operated on successfully after 45 min of the stab without complications. CLINICAL DISCUSSION AND CONCLUSION: Cardiac repair should be attempted as soon as possible if the patient with the stab wound to the heart is not dead upon arrival. The time from the stabbing to the start of the operation is vital, and any delay in the operation may lose the patient. Glasgow Coma Scale could be considered as predicting variable for complications or mortality in patients with stab heart wounds. Lippincott Williams & Wilkins 2023-04-20 /pmc/articles/PMC10289567/ /pubmed/37363485 http://dx.doi.org/10.1097/MS9.0000000000000637 Text en Copyright © 2023 The Author(s). Published by Wolters Kluwer Health, Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/)
spellingShingle Case Reports
Naseer, Osama R.
Rishi, Mahjoub B.
Alsherbini, Mohamed G.
Sahoub, Haytham A.
Gelia, Abdulhakim
Elside, Essam
Taggaz, Khaled S.
A cardiac injury and pericardial tamponade following a stab wound to the chest: a case report
title A cardiac injury and pericardial tamponade following a stab wound to the chest: a case report
title_full A cardiac injury and pericardial tamponade following a stab wound to the chest: a case report
title_fullStr A cardiac injury and pericardial tamponade following a stab wound to the chest: a case report
title_full_unstemmed A cardiac injury and pericardial tamponade following a stab wound to the chest: a case report
title_short A cardiac injury and pericardial tamponade following a stab wound to the chest: a case report
title_sort cardiac injury and pericardial tamponade following a stab wound to the chest: a case report
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10289567/
https://www.ncbi.nlm.nih.gov/pubmed/37363485
http://dx.doi.org/10.1097/MS9.0000000000000637
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