Citation

Bargoud CG, Lee E, Toppo A, Patel D, Berger E, McDonough C, Fjotland C, Reformato V, Takebe M, Hanna JS. Trauma Case Rep 2022; 37.

Copyright

(Copyright © 2022, Elsevier Publishing)

DOI

10.1016/j.tcr.2021.100597

PMID

unavailable

Abstract

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. © 2021 The Authors

Language: en

Keywords

adult; Trauma; human; male; case report; depression; drug use; suicide attempt; Critical care; clinical article; automutilation; middle aged; delusion; methamphetamine; heart injury; hospital discharge; social phobia; thorax injury; penetrating trauma; electrocardiogram; Cardiac injury; thorax radiography; Article; medical history; anesthesia induction; transthoracic echocardiography; cardiopulmonary bypass; computed tomographic angiography; heart right ventricle; sternotomy; Nail gun; advanced trauma life support; focused assessment with sonography for trauma; heart right ventricle outflow tract; pneumatic nail gun injury