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Late Cardiac Tamponade in a Patient Victim of Penetrating Trauma – Case Report

Case Presentation: A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the c...

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Detalles Bibliográficos
Autores principales: Maia, Adnaldo da Silveira, da Cunha, Alexandre Bichara, Pereira, Magnum Adriel Santos, Chaves, Natalia Pompeu, de Morais, Ricardo Silva, de Almeida, Lázaro Araújo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cirurgia Cardiovascular 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7731853/
https://www.ncbi.nlm.nih.gov/pubmed/33306330
http://dx.doi.org/10.21470/1678-9741-2019-0130
Descripción
Sumario:Case Presentation: A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the cardiac lesion, enlargement of the incision by median sternotomy was opted for. A hematoma was spotted at the left ventricle with epicardial lesion and a patch of pericardium was made with 3-0 polypropylene. The patient developed acute pulmonary edema and atrial fibrillation, which improved after the intensive care unit clinical management, with hospital discharge in the 7(th) postoperative day.