Penetrating cardiac injury has the highest mortality and morbidity rates of any organ trauma. We describe a case of cardiac injury presenting with partial pericardial tamponade, which was caused by penetration of a ballpoint pen. The injury was diagnosed by chest radiography and successfully treated in a non-cardiac setup. Urgent investigation and surgical intervention are emphasized.
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References
1.
HarmanPKTrinkleJK. Injury to the heart. In: MooreEEMattoxKL, editors. Norwalk: Appleton-Century-Crofts, 1986: 365–84.
2.
IvaturyRRNalathambiMNRohmanM. Penetrating cardiac trauma: Quantifying the severity of anatomic and physiologic injury. Ann Surg1987;205: 61–6.
3.
AttarSSutterCMHankinsJRSequeiraAMcLaughlinJS. Penetrating cardiac injuries. Ann Thorac Surg1991;51: 711–6.
4.
SuggWLReaWJEckerRRWebbWRRoseEFShawRR. Retrospective study of 459 cases of penetrating cardiac trauma. J Thorac Cardiovasc Surg1968;56: 531.
5.
SymbasPNVlasis-HaleSEPiconeALHatcherCR. Missiles in the heart. Ann Thorac Surg1989;48: 192–4.
6.
MorenoCMooreEEMajureJAHopemanAR. Pericardial tamponade: A critical determinant for survival following penetrating cardiac wounds. J Trauma1986;26: 821–5.
7.
IvaturyRRRohmanMSteichenFMGunduzYNallathambiMStahlW. Penetrating cardiac injuries: Twenty-year experience. Am Surg1987;53: 310.
8.
GallahnejadMKuttyACKWallaceHW. Secondary lesions of penetrating cardiac injuries. A frequent complication. Ann Surg1980;95: 902–7.
