A delayed presentation of cardiac tamponade after blunt trauma

Davey, Samuel; Alam, Ferdous; Malik, Sohail

doi:10.1093/jscr/2011.9.1

Cited by 8 publications

(4 citation statements)

References 3 publications

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“…9 Clearly, this latter event is expected with major traumas, as the high intensity of impact generates serious damage to the heart that can lead to the development of effusion or even the breaking of the ventricular wall. However, although to a lesser extent, even minor traumas may determine cardiac tamponade as indicated by this and other 11 cases 4,9,[10][11][12][13][14][15][16][17][18][19] that have been summarized in Table 1. Notably, there is no direct timing correlation between the traumatic event and cardiac tamponade, that is, the latter occurring from few hours up to months ( Table 1).…”

Section: Discussionmentioning

confidence: 83%

Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

Guarino

Bologna

Giorgi

et al. 2020

Hong Kong j. emerg. med.

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Haemopericardium with cardiac tamponade following minor blunt trauma is a rare, life-threatening condition. The diagnosis of cardiac tamponade as well as therapeutic management may be delayed, since the link between trauma and illness is often overlooked. We report the case of an old woman who developed a relatively delayed cardiac tamponade due to an otherwise minor blunt chest trauma following syncope.

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Section: Discussionmentioning

confidence: 83%

Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

Guarino

Bologna

Giorgi

et al. 2020

Hong Kong j. emerg. med.

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“…B. einem Messer, geschehen. Es sind aber auch Fälle beschrieben, bei denen nach originärem stumpfem Thoraxtrauma eine frakturierte Rippe zu einer penetrierenden kardialen Verletzung geführt hat [19]. Durch die Anwendung von Thoraxdekompressionsnadeln, die in der Regel eine Länge von > 8 cm haben, wurden auch iatrogene perikardiale Verletzungen beim Versuch der Pneumothoraxdekompression beschrieben [20].…”

Section: Pathogenese Des Perikardergussesunclassified

Diagnostik und invasive Maßnahmen beim Thoraxtrauma

Obermaier¹,

Katzenschlager²,

Schneider³

2020

Anästhesiol Intensivmed Notfallmed Schmerzther

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ZusammenfassungDas Thoraxtrauma ist ein komplexes Verletzungsmuster, dessen Diagnostik und Therapie einem Notfallteam alles abverlangen. Der Begriff beschreibt Verletzungen des Brustkorbs in allen Facetten – von der Prellmarke eines Sicherheitsgurtes bis zum tödlichen Überrolltrauma mit Quetschung oder Zerreißung der Thoraxorgane. Bei der Therapie können sonografische Diagnostik und invasive Notfalltechniken erforderlich werden, die dieser Beitrag darstellt.

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“…However, recent studies report that 3% to 10% of pre-hospital major trauma patients may benefit from the use of REBOA (13)(14)(15)(16). Blunt cardiac injury is seen in up to 20% of all motor vehicle deaths and acute cardiac tamponade (ACT) is a known potential sequelae (17). Major intrathoracic vascular injury and ACT have been suggested to be, and are currently widely accepted as, contraindications for REBOA.…”

Section: Introductionmentioning

confidence: 99%

Hemodynamic Effect of Resuscitative Endovascular Balloon Occlusion of the Aorta in Hemodynamic Instability Secondary to Acute Cardiac Tamponade in a Porcine Model

McGreevy

Björklund

Nilsson

et al. 2021

Shock

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Background: The pre-hospital use of Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) is increasing, although it remains controversial, in part because of suggested contraindications such as acute cardiac tamponade (ACT). As both the pre-hospital and in-hospital use of REBOA might potentially occur with concurrent ACT, knowledge of the hemodynamic effect of REBOA in this setting is crucial. This study, therefore, aimed at investigating the physiological effects of REBOA in hemodynamic instability secondary to ACT in a porcine model. We hypothesize that REBOA can temporarily increase systemic blood pressure and carotid blood flow, and prolong survival, in hemodynamic shock caused by ACT. Methods: Fourteen pigs (24-38 kg) underwent ACT, through true cardiac injury and hemorrhage into the pericardial space, and were allowed to hemodynamically deteriorate. At a systolic blood pressure (SBP) of 50 mm Hg (SBP50) they were randomized to total occlusion REBOA in zone 1 or to a control group. Survival, hemodynamic parameters, carotid blood flow (CBF), femoral blood flow (FBF), cardiac output (CO), end-tidal CO 2 , and arterial blood gas parameters were analyzed. Results: REBOA intervention was associated with a significant increase in SBP (50 mm Hg to 74 mm Hg, P ¼ 0.016) and CBF (110 mL/min to 195 mL/min, P ¼ 0.031), with no change in CO, compared to the control group. At 20 min after SBP50, the survival rate in the intervention group was 86% and in the control group 14%, with time to death being significantly longer in the intervention group. Conclusions: This randomized animal study demonstrates that REBOA can help provide hemodynamic stabilization and prolong survival in hemodynamic shock provoked by ACT. It is important to stress that our study does not change the fact that urgent pericardiocentesis or cardiac surgery is, and should remain, the standard optimal treatment for ACT.

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A delayed presentation of cardiac tamponade after blunt trauma

Abstract: Cardiac tamponade is a recognised complication of blunt trauma to the chest. It usually presents at the time of the acute event but there are rare cases of delayed presentations. We present such a case where the tamponade occurred six weeks following the trauma to the chest wall.

Cited by 8 publications

References 3 publications

Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

Cardiac tamponade as a late complication of a minor trauma due to syncope: A case report and literature review

Diagnostik und invasive Maßnahmen beim Thoraxtrauma

Hemodynamic Effect of Resuscitative Endovascular Balloon Occlusion of the Aorta in Hemodynamic Instability Secondary to Acute Cardiac Tamponade in a Porcine Model

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