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CASE REPORT
Year : 2016  |  Volume : 1  |  Issue : 1  |  Page : 19-20

Silent Cardiac Wound


Surgery Institute of Amazonas State, Rubis Street, zip code: 69053610, Manaus -AM, Brazil

Correspondence Address:
Bruno José da Costa Medeiros
Surgery Institute of Amazonas State, Rubis Street, zip code: 69053610, Manaus -AM
Brazil
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2542-6281.194056

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A 27-year-old male had a stab wound on the anterior chest. The patient was hemodynamically stable. Vital signs were normal in the beginning. Breath and cardiac sounds were normal. Chest X-ray revealed no signs of hemothorax or pneumothorax. Focused Assessment Sonography for Trauma (FAST) was negative. Reevaluated after 2 h, he continued apparently stable, and only his blood pressure was a little lower 100 × 60 mmHg. Second FAST was positive. He had a punctate ventricular lesion, corrected with horizontal suture. We reinforce the importance of reevaluation of the patient and systematically do the FAST or pericardial window in patients with suspected cardiac lesion.


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