ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Full Text (PDF)
Right arrow References
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Right arrow Citation Map
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Harold L. Lazar
Carl H. Almond
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Bolton, J. W. R.
Right arrow Articles by Almond, C. H.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Bolton, J. W. R.
Right arrow Articles by Almond, C. H.

Ann Thorac Surg 1993;56:506-509
© 1993 The Society of Thoracic Surgeons

Articles

Two-dimensional echocardiography in the evaluation of penetrating intrapericardial injuries

Joe W.R. Bolton, MDa,b, Raymond P. Bynoe, MDa,b, Harold L. Lazar, MD*,a,b, Carl H. Almond, MDa,b

a Department of Surgery, University of South Carolina, Columbia, South Carolina USA
b Department of Cardiothoracic Surgery, Boston University Medical Center, Boston, Massachusetts USA

Accepted for publication November 26, 1992.

* Address reprint requests to Dr Lazar, Department of Cardiothoracic Surgery, The University Hospital, 88 E Newton St, Boston, MA 02118.

Patients with penetrating pericardial trauma whose vital signs stabilize after fluid administration may present a therapeutic dilemma. Two-dimensional echocardiography has emerged as a diagnostic technique to help determine whether surgical intervention may be required. We present 5 patients with penetrating pericardial trauma whose vital signs stabilized after fluid administration and who had minimal clinical findings. In 3 of these patients, a small effusion was seen; in 2 others. no abnormalities were noted. All 5 underwent surgical exploration and had major intrapericardial injuries. We conclude that a normal echocardiographic study does not rule out major intrapericardial injury in patients with penetrating chest trauma. Furthermore, small areas of effusion seen on echocardiography in these patients represent indications for surgical exploration.




This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
A. N. Patel, C. Brennig, J. Cotner, M. A. Lovitt, M. L. Foreman, R. E. Wood, and H. C. Urschel Jr
Successful diagnosis of penetrating cardiac injury using surgeon-performed sonography
Ann. Thorac. Surg., December 1, 2003; 76(6): 2043 - 2047.
[Abstract] [Full Text] [PDF]

Home page
 Eur J Cardiothorac SurgHome page
F. Pons, L. Lang-Lazdunski, X. de Kerangal, O. Chapuis, P. M. Bonnet, and R. Jancovici
The role of videothoracoscopy in management of precordial thoracic penetrating injuries
Eur J Cardiothorac Surg, July 1, 2002; 22(1): 7 - 12.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
D. G. Harris, K. A. Papagiannopoulos, J. Pretorius, T. Van Rooyen, and G. J. Rossouw
Current evaluation of cardiac stab wounds
Ann. Thorac. Surg., December 1, 1999; 68(6): 2119 - 2122.
[Abstract] [Full Text] [PDF]

Home page
 Ann. Thorac. Surg.Home page
L. E. Samuels, M. S. Kaufman BA, J. Rodriguez-Vega, R. J. Morris, and S. K. Brockman
Diagnosis and Management of Traumatic Aorto-Right Ventricular Fistulas
Ann. Thorac. Surg., January 1, 1998; 65(1): 288 - 288.
[Abstract] [Full Text] [PDF]

Home page
 CirculationHome page
M. D. Cheitlin, J. S. Alpert, W. F. Armstrong, G. P. Aurigemma, G. A. Beller, F. Z. Bierman, T. W. Davidson, J. L. Davis, P. S. Douglas, L. D. Gillam, et al.
ACC/AHA Guidelines for the Clinical Application of Echocardiography : A Report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Committee on Clinical Application of Echocardiography) Developed in Collaboration With the American Society of Echocardiography
Circulation, March 18, 1997; 95(6): 1686 - 1744.
[Full Text]

Home page
 Ann. Thorac. Surg.Home page
M. M. Rossbach, R. C. Baptiste, M. T. Sykes, E. Y. Sako, J. H. Calhoon, O. L. Miller, and S. B. Johnson
Dual-Inflow Great Vessel Aneurysm: Delayed Presentation After Penetrating Trauma
Ann. Thorac. Surg., January 1, 1997; 63(1): 238 - 240.
[Abstract] [Full Text]

Home page
 Ann. Thorac. Surg.Home page
S. B. Johnson, J. L. Nielsen, E. Y. Sako, J. H. Calhoon, J. K. Trinkle, and O. L. Miller
Penetrating intrapericardial wounds: Clinical experience with a surgical protocol
Ann. Thorac. Surg., July 1, 1995; 60(1): 117 - 121.
[Abstract] [PDF]

Home page
 Ann. Thorac. Surg.Home page
R. Andrade-Alegre and L. Mon
Subxiphoid pericardial window in the diagnosis of penetrating cardiac trauma
Ann. Thorac. Surg., October 1, 1994; 58(4): 1139 - 1141.
[Abstract] [PDF]


HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS
Copyright © 1993 by The Society of Thoracic Surgeons.