title: A fatal stab wound causing selective injury to the left anterior descending coronary artery, myocardial infarction and delayed cardiac tamponade.
abstract: We describe an unusual case of delayed cardiac tamponade that led to death 9 days after a penetrating stab wound. The injury consisted of a longitudinal tear in the LAD coronary artery, with an occlusive thrombus and the rupture of the coronary wall into a pseudo-aneurysmatic peri-coronary hematoma. As imaging evidence of pericardial effusion and ischemic electrocardiographic changes were lacking, the diagnosis was only made during post-mortem examination.
authors.affiliation: University of Catania, Department GB Ingrassia, Via S. Sofia, 87, 95123 Catania, Italy. gbartolo@unict.it
authors.forename: Giovanni
authors.initials: G
authors.lastname: Bartoloni
authors.forename: Francesca
authors.initials: F
authors.lastname: Trio
authors.forename: Alessandro
authors.initials: A
authors.lastname: Bartoloni
authors.forename: Alexandra
authors.initials: A
authors.lastname: Giorlandino
authors.forename: Angela
authors.initials: A
authors.lastname: Pucci
mesh_terms: D000328:Adult; D017541:Aneurysm, False / Q000209:etiology / Q000473:pathology; D002305:Cardiac Tamponade / Q000209:etiology / Q000473:pathology*; D054059:Coronary Occlusion / Q000209:etiology / Q000473:pathology; D003328:Coronary Thrombosis / Q000209:etiology / Q000473:pathology; D003331:Coronary Vessels / Q000293:injuries* / Q000473:pathology*; D049429:Forensic Pathology; D006406:Hematoma / Q000209:etiology / Q000473:pathology; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology / Q000473:pathology*; D012421:Rupture / Q000209:etiology / Q000473:pathology; D014951:Wounds, Stab / Q000150:complications* / Q000473:pathology