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Ann Thorac Surg 2002;74:239-241
© 2002 The Society of Thoracic Surgeons

Case report

Pericarditis after trauma resulting in delayed cardiac tamponade

Riyad Karmy-Jones, MD*a, Tina Yen, MDa, Carol Cornejo, MDa

a Department of Surgery, Harborview Medical Center, Seattle, Washington, USA

Accepted for publication January 22, 2002.

* Address reprint requests to Dr Karmy-Jones, Department of Surgery, Box 359796, 325 Ninth Ave, Harborview Medical Center, Seattle, WA 98104 USA
e-mail: karmy{at}u.washington.edu

Pericarditis complicating cardiac trauma and resulting in tamponade is uncommon. Possible causes include an autoimmune reaction or an inflammatory response to blood entering the pericardium. We present two patients, one with effusive and one with constrictive pericarditis occurring within 2 weeks of a penetrating trauma close to but not directly involving the heart. These cases illustrate the importance of clinical suspicion and aggressive management in the diagnosis and management of such patients.




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