title: Delayed Tamponade after Traumatic Wound with Left Ventricular Compression.
abstract: Delayed cardiac tamponade after a penetrating chest injury is a rare complication. The clinical diagnosis of tamponade is facilitated with imaging. We present a case report of a 23-year-old male who was brought to emergency after multiple stab wounds to the chest. After resuscitation and repair of laceration of right internal mammary artery and right ventricle, he was discharged but later returned with shortness of breath. Echocardiography revealed a rare case of delayed pericardial tamponade causing left ventricular collapse. The pericardial effusion was treated with emergent pericardiocentesis and later required a thoracoscopy guided pericardial window for definitive management.
authors.affiliation: Division of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, Canada; King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.
authors.forename: Fahad
authors.initials: F
authors.lastname: Almehmadi
authors.affiliation: Division of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, Canada.
authors.forename: Mark
authors.initials: M
authors.lastname: Chandy
authors.affiliation: Division of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, Canada; Keenan Biomedical Research Centre, Li Ka Shing Knowledge Institute, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada; Division of Cardiology, Terrence Donnelly Heart Centre, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
authors.forename: Kim A
authors.identifier: 0000-0002-1031-3137
authors.initials: KA
authors.lastname: Connelly
authors.affiliation: Division of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, Canada; Division of Cardiology, Terrence Donnelly Heart Centre, St. Michael's Hospital, University of Toronto, Toronto, ON, Canada.
authors.forename: Jeremy
authors.initials: J
authors.lastname: Edwards