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Ann Fr Anesth Reanim. 2007 Jun;26(6):593-5. Epub 2007 May 23.

[Delayed tamponade and traumatic myocardial contusion: evaluate the risk after blunt chest trauma].

[Article in French]

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1
Service de réanimation polyvalente, département d'anesthésie-réanimation A, hôpital Lapeyronie, CHU de Montpellier, Montpellier, France.

Abstract

Cardiac contusion is frequently found in patients with blunt chest trauma. It is important to note that even if there is a low incidence of pericardial effusion, iterative echocardiography should be used to provide essential information for the diagnosis of cardiac tamponade which can be life-threatening during hospitalisation. The case has been reported of a 17-year-old patient with blunt thoracic trauma in whom the introduction of anticoagulant treatment induced a delayed cardiac tamponade with myocardiac failure 3 weeks after a cardiac contusion. Thoracic computed tomography confirmed the diagnosis and moreover, revealed a pleural effusion with pulmonary embolism. The drainage of the pericardial effusion (700 ml) rapidly restored haemodynamic stability and as such has been proved to be life-saving.

PMID:
17524606
DOI:
10.1016/j.annfar.2007.03.024
[Indexed for MEDLINE]
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