title: Delayed pericardial tamponade after penetrating chest trauma.
abstract: Delayed pericardial tamponade (PT) after penetrating heart trauma is now a rare condition as a result of advances in medical and surgical management. We report the case of a 32-year-old man with delayed PT after a stab wound from a knife. The initial evaluation was consistent with a traumatic apical myocardial infarction. After an uneventful initial course, the patient developed acute PT, which required emergency surgery. A thrombus was discovered over a laceration in the mid-segment of the left anterior descending artery and a simple suture was performed.
authors.affiliation: Department of Cardiology, Hospital Universitario Marqués de Valdecilla, Santander, Spain.
authors.forename: Susana González
authors.initials: SG
authors.lastname: Enríquez
authors.forename: Camilo González
authors.initials: CG
authors.lastname: Fernández
authors.forename: Felipe Rodríguez
authors.initials: FR
authors.lastname: Entem
authors.forename: Jose Maria
authors.initials: JM
authors.lastname: San José Garagarza
authors.forename: Rafael Martín
authors.initials: RM
authors.lastname: Durán
mesh_terms: D002305:Cardiac Tamponade / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D004452:Echocardiography; D004635:Emergency Medicine / Q000379:methods; D006801:Humans; D008297:Male; D013406:Suicide, Attempted; D013898:Thoracic Injuries / Q000150:complications*; D013997:Time Factors; D016896:Treatment Outcome; D014951:Wounds, Stab / Q000150:complications*