Maia ADS, Cunha ABD, Pereira MAS, Chaves NP, Morais RSD, Almeida LAD. Late Cardiac Tamponade in a Patient Victim of Penetrating Trauma - Case Report.
Braz J Cardiovasc Surg 2020;
35:1017-1019. [PMID:
33306330 PMCID:
PMC7731853 DOI:
10.21470/1678-9741-2019-0130]
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Abstract
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 7th postoperative day.
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