Penetrating Cardiac Injury Managed Without Surgery but with Systemic Heparinisation
作者： Ben Dunne , Darren Tan , Abdul Ihdayhid , Xiao-Fang Xu , Mark Edwards
DOI: 10.1016/J.HLC.2015.07.014
关键词: Chest injury 、 Penetrating trauma 、 Medicine 、 Cardiology 、 Surgery 、 Thrombosis 、 Heart Injury 、 Tamponade 、 Effusion 、 Pericardial effusion 、 Internal medicine 、 Left ventricular thrombus
摘要: A 36-year-old woman presented to hospital after a penetrating chest injury. She was haemodynamically stable. Echocardiography revealed left ventricular thrombus, with minimal pericardial effusion and no associated cardiac injuries. Intravenous anticoagulation commenced for her intracardiac thrombus monitored serial echocardiography. remained well, converted warfarin discharged home day 12 post admission, cautious follow-up given risk of late tamponade. Follow-up imaging resolution thrombus. remains well date.
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