Left ventricular rupture with resulting cardiac tamponade due to blast force trauma from gunshot wound

Charles Farrell Branch, Jeffrey L Adams

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Acute cardiac tamponade can rapidly become a surgical emergency requiring prompt diagnosis and intervention. Common etiologies of acute cardiac tamponade include blunt or penetrating trauma, surgical complications, sequelae from myocardial infarction and effusion. Objectives: This case report illustrates an instance where penetrating trauma mimics non-penetrating blunt force trauma. Case Report: The following is a report of a woman who died from cardiac tamponade secondary to a self-inflicted gunshot wound to the chest. This case is unique because the pericardium was not perforated; the left ventricle sustained numerous lacerations from the blast forces upon discharge of the weapon, resulting in a hemopericardium. Conclusion: This article defines cardiac tamponade, presents the case, and discusses shotgun ballistics, wounding mechanisms, and blunt force trauma.

Original languageEnglish (US)
Pages (from-to)263-265
Number of pages3
JournalJournal of Emergency Medicine
Volume43
Issue number2
DOIs
StatePublished - Aug 1 2012

Keywords

  • - gunshot
  • blast force
  • cardiac tamponade
  • trauma
  • ventricular rupture

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