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Delayed complications after myocardial contusion.

E D Grech1, P A Dodds, R A Perry

  • 1Department of Cardiology, Cardiothoracic Centre, Liverpool.

British Heart Journal
|November 1, 1992
PubMed
Summary
This summary is machine-generated.

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A horse kick caused chest trauma, leading to delayed right ventricular failure and pulmonary emboli. This case highlights the need for close monitoring of patients with myocardial contusion for subsequent cardiac complications.

Area of Science:

  • Cardiology
  • Trauma Medicine
  • Internal Medicine

Background:

  • Chest trauma from blunt force can lead to cardiac complications.
  • Right ventricular myocardial contusion is a potential consequence of thoracic injury.

Observation:

  • A 45-year-old farmer sustained a chest injury from a horse kick.
  • He developed progressive dyspnea, right ventricular failure, and pulmonary emboli.
  • Initial echocardiography revealed global right ventricular dysfunction but missed a mural thrombus.

Findings:

  • The patient recovered with anticoagulation for pulmonary emboli.
  • A delayed complication of complete atrioventricular dissociation occurred one month later.
  • Dual-chamber pacemaker implantation was required for the atrioventricular dissociation.

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Implications:

  • This case underscores the potential for delayed cardiac complications following seemingly minor chest trauma.
  • Close, long-term monitoring is crucial for patients with right ventricular myocardial contusion.
  • Unrecognized cardiac injury can lead to significant, delayed morbidity.