title: Stab to the chest causing severe great vessel injury.
abstract: Penetrating trauma has increased in developed and urban environments. Pulmonary artery injury is rare, but can be associated with significant morbidity. We report a case of delayed cardiac arrest following a stab injury to the chest. The patient had active great vessel bleeding and required extensive surgical intervention. Clinicians should have a high index of suspicion for life-threatening thoracic injuries following a stab injury to the chest, despite initial clinical stability or negative baseline radiological findings.
authors.affiliation: Department of Cardiac Surgery, University Hospital Birmingham NHS Foundation Trust, Birmingham, United Kingdom.
authors.forename: Eshan L
authors.initials: EL
authors.lastname: Senanayake
authors.forename: Janan
authors.initials: J
authors.lastname: Jeyatheesan
authors.forename: Vennesa
authors.initials: V
authors.lastname: Rogers
authors.forename: Ian C
authors.initials: IC
authors.lastname: Wilson
authors.forename: Tim R
authors.initials: TR
authors.lastname: Graham
mesh_terms: D001013:Aorta, Thoracic / Q000293:injuries* / Q000601:surgery; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D008875:Middle Aged; D011651:Pulmonary Artery / Q000293:injuries* / Q000601:surgery; D013898:Thoracic Injuries / Q000150:complications* / Q000601:surgery; D014951:Wounds, Stab / Q000150:complications* / Q000601:surgery