title: Penetrating Cardiac Injury Managed Without Surgery but with Systemic Heparinisation.
abstract: A 36-year-old woman presented to hospital after a penetrating chest injury. She was haemodynamically stable. Echocardiography revealed left ventricular thrombus, with minimal pericardial effusion and no associated cardiac injuries. Intravenous anticoagulation was commenced for her intracardiac thrombus and her pericardial effusion was monitored with serial echocardiography. She remained well, was converted to warfarin and discharged home day 12 post admission, with cautious follow-up given her risk of late effusion and tamponade. Follow-up imaging revealed resolution of her intracardiac thrombus. She remains well to date.
authors: Western Australian Cardiothoracic Research and Audit Group, Fiona Stanley Hospital, Perth, WA, Australia. Electronic address: bdunne14784@gmail.com.
authors: Ben
authors: B
authors: Dunne
authors: Western Australian Cardiothoracic Research and Audit Group, Fiona Stanley Hospital, Perth, WA, Australia.
authors: Darren
authors: D
authors: Tan
authors: Western Australian Cardiothoracic Research and Audit Group, Fiona Stanley Hospital, Perth, WA, Australia.
authors: Abdul
authors: A
authors: Ihdayhid
authors: Western Australian Cardiothoracic Research and Audit Group, Fiona Stanley Hospital, Perth, WA, Australia.
authors: Xiao-Fang
authors: XF
authors: Xu
authors: Western Australian Cardiothoracic Research and Audit Group, Fiona Stanley Hospital, Perth, WA, Australia.
authors: Mark
authors: M
authors: Edwards
authors: Western Australian Cardiothoracic Research and Audit Group, Fiona Stanley Hospital, Perth, WA, Australia.
authors: Chris
authors: C
authors: Merry
mesh_terms: D000328:Adult; D005260:Female; D006335:Heart Injuries / Q000188:drug therapy*; D006493:Heparin / Q000008:administration & dosage*; D006801:Humans; D010490:Pericardial Effusion / Q000188:drug therapy*; D013927:Thrombosis / Q000188:drug therapy*; D014950:Wounds, Penetrating / Q000188:drug therapy*
chemical_list: D006493:Heparin
keywords: Left Ventricle; Penetrating Trauma