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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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Delayed Tamponade after Traumatic Wound with Left Ventricular Compression.

Fahad Almehmadi1, Mark Chandy2, Kim A Connelly3

  • 1Division of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, Canada; King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia.

Case Reports in Cardiology
|September 22, 2016
PubMed
Summary
This summary is machine-generated.

Delayed cardiac tamponade is a rare complication following chest trauma. This case highlights echocardiography

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Area of Science:

  • Cardiology
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Penetrating chest injuries can lead to delayed cardiac tamponade, a rare but serious complication.
  • Early diagnosis and management are crucial for patient outcomes.

Purpose of the Study:

  • To present a case of delayed pericardial tamponade after penetrating chest trauma.
  • To emphasize the role of imaging in diagnosing this rare condition.

Main Methods:

  • Case report of a 23-year-old male with multiple stab wounds to the chest.
  • Initial resuscitation and surgical repair.
  • Follow-up presentation with shortness of breath.
  • Diagnostic echocardiography revealing pericardial effusion and left ventricular collapse.
  • Treatment with pericardiocentesis and pericardial window creation.

Main Results:

  • A rare case of delayed cardiac tamponade was diagnosed using echocardiography.
  • The patient presented with shortness of breath due to left ventricular collapse.
  • Successful management involved pericardiocentesis and a pericardial window.

Conclusions:

  • Delayed cardiac tamponade is an uncommon sequela of penetrating chest trauma.
  • Echocardiography is essential for prompt diagnosis.
  • Multimodal management, including pericardiocentesis and surgical intervention, can be life-saving.