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

• Autor(a) principal: Maia,Adnaldo da Silveira
• Data de Publicação: 2020
• Outros Autores: Cunha,Alexandre Bichara da, Pereira,Magnum Adriel Santos, Chaves,Natalia Pompeu, Morais,Ricardo Silva de, Almeida,Lázaro Araújo de
• Tipo de documento: Relatório
• Idioma: eng
• Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382020000601017
• topic: Cardiac Tamponade; Stab Wounds; Pericardial Window Techniques

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.