title: Breaking the rules! Cardiac injury from remote entry sites.
abstract: An unusual case of penetrating injury to the heart is reported. This presented late, after an initial silent period. A high index of suspicion must be maintained when chest injuries are managed conservatively. If there is doubt, a subxiphoid pericardial window may allow cardiac injury to be excluded.
authors.affiliation: Department of Cardiothoracic Surgery, Royal Infirmary, Alexandra Parade, Glasgow, UK.
authors.forename: V
authors.initials: V
authors.lastname: Pathi
authors.forename: F W
authors.initials: FW
authors.lastname: Sutherland
authors.forename: A
authors.initials: A
authors.lastname: Ireland
authors.forename: K G
authors.initials: KG
authors.lastname: Davidson
mesh_terms: D000328:Adult; D006348:Cardiac Surgical Procedures; D002305:Cardiac Tamponade / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D018572:Disease-Free Survival; D004452:Echocardiography; D006323:Heart Arrest / Q000209:etiology* / Q000601:surgery; D006335:Heart Injuries / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D014951:Wounds, Stab / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery