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ORIGINAL ARTICLE

Cardiac tamponade due to non-cardiac cause: case report

Hércules Lisboa BongiovaniI; João Otávio Freitas JúniorI; Vicente CatanzaroI; Fábio Souza e SilvaI; Elza Helena F BongiovaniI

DOI: 10.1590/S0102-76381996000100010

ABSTRACT

The penetrating heart wounds are extremely dangerous. We report a 38 years old male which was treated in our emergency department after 3 hours of a stab wound in the chest and cardiogenic shock due to tamponade. A left thoracotomy was performed and a pericardial and left lobe of the liver perforations were found. There was no cardiac lesion. The patient became comatous; died after 48 hours.

RESUMO

Ferimentos penetrantes do precórdio são extremamente graves e necessitam de atendimento imediato. Relatamos o caso de um homem com 38 anos de idade, atendido no serviço de emergência, com história de lesão do precórdio por arma branca, havia três horas e clínica de choque cardiogênico por tamponamento cardíaco. Foi realizada toracotomia exploradora, onde constatou-se lesão do pericárdio e lobo esquerdo do fígado, sem ferimento cardíaco. O paciente evoluiu para coma profundo e faleceu 48 horas após a operação.
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Article receive on Thursday, February 1, 1996

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