Delayed presentation of a pneumatic nail gun injury to the right ventricle without circulatory compromise

Autor: Christopher G. Bargoud, Eimon Lee, Alexander Toppo, Devesh Patel, Evan Berger, Christian McDonough, Christopher Fjotland, Vincent Reformato, Manabu Takebe, Joseph S. Hanna
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Trauma Case Reports, Vol 37, Iss , Pp 100597- (2022)
Druh dokumentu: article
ISSN: 2352-6440
DOI: 10.1016/j.tcr.2021.100597
Popis: Delayed presentation of penetrating cardiac injuries is exceedingly rare due to the observed near 100% pre-hospital mortality. We describe a case of a patient who presented for evaluation nearly 24 h after sustaining a self-inflicted pneumatic nail gun injury to the right ventricular outflow tract. Remarkably, the patient had no evidence of hemodynamic compromise. This case highlights the importance of maintaining a high index of suspicion for cardiac injury with penetrating trauma to the cardiac box regardless of presenting signs and symptoms, and the value of adhering to advanced trauma life support principles.
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