Cardiac tamponade caused by myocardial erosion secondary to the firearm pellet injury
Abstract
A 20-year-old man presented with severe dyspnea after a thoracic firearm injury. Many pellets distributed in the thoracic wall and an enlarged cardiac silhouette was detected on chest X-ray. Electrocardiogram demonstrated regular sinus rhythm with low voltage. Transthoracic echocardiography (TTE) revealed pericardial effusion causing cardiac tamponade and the presence of a swinging retained pellet in the pericardium and the absence of intra and extracardiac shunt (Figure 1 and 2). The patient was transferred to the operating room and examination of the heart showed intrapericardial localization of the pellet and erosion of the left side of the myocardium without any coronary artery and other cardiac injures (Figure 3). Primary suture of erosion was performed with patch on beating heart successfully. After operation TTE was performed again and revealed no abnormalities. This case highlights the role of TTE in emergency room to exclude or confirm the potential cardiac injury and importance of rapid diagnosis and operation should be emphasized to reduce mortality due to cardiac tamponade [1, 2].
Keywords
Kaynakça
- Alaminos Mingorance M, Castejón Casado FJ, Valladares Mendias JC, Sánchez López- Tello C, Pérez de la Cruz JM. Cardiac injury from an air gun pellet: a case report. Eur J Pediatr Surg 1999; 9: 184-5.
- Tutar HE, Atalay S, Uysalel A, Ozberrak H, Koçak G. Recurrent pericardial effusion due to gunshot wound of the heart in a hemodynamically stable child-a case report. Angiology 1999; 50: 337-40.
Ayrıntılar
Birincil Dil
İngilizce
Konular
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Bölüm
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Yayımlanma Tarihi
27 Eylül 2011
Gönderilme Tarihi
6 Ağustos 2010
Kabul Tarihi
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Yayımlandığı Sayı
Yıl 2011 Cilt: 33 Sayı: 3