Diagnosis and Treatment of Penetrating Cardiac Injury One Year after Thoracic Stab Wound

[摘要] In any patient with a history of penetrating thoracic trauma, cardiac injury must be kept in mind. Here,we describe a 36 years-old female referred to this hospital with severe chest pain and hypotension. Afterprimary evaluation and suggestion of AMI, streptokinase was started for the patient and because ofdeterioration of vital signs, cardiac surgery consultation was requested. After performing urgentechocardiography, massive pericardial tamponade was detected. Visualization of a knife blade on C.X.R andpast medical history of thoracic stab injury led to a diagnosis of delayed cardiac tamponade and urgentsternotomy was performed. The blade that had penetrated the right ventricular chamber was extracted. Sixdays after operation, patient was discharged without any problem. This case study suggests the importance ofhigh suspicion to cardiac injury in any patient with chest pain and a history of chest trauma.

[学科分类] 药学、药理学、毒理学（综合）

[关键词] demosponge;spiculite;turbidite;Silesian Basin;Outer Carpathians;Cenomanian