@article{ref1,
title="A severe penetrating cardiac injury in the absence of cardiac tamponade",
journal="Interactive cardiovascular and thoracic surgery",
year="2016",
author="Connelly, Tara M. and Kolcow, Walenty and Veerasingam, Dave and DaCosta, Mark",
volume="24",
number="2",
pages="286-287",
abstract="Penetrating cardiac injury is rare and frequently not survivable. Significant haemorrhage resulting in cardiac tamponade commonly ensues. Such cardiac tamponade is a clear clinical, radiological and sonographic indicator of significant underlying injury. In the absence of cardiac tamponade, diagnosis can be more challenging. In this case of a 26-year old sailor stabbed at sea, a significant pericardial effusion and cardiac tamponade did not occur despite an injury transversing the pericardium. Instead, the pericardial haemorrhage drained into the left pleural cavity resulting in a haemothorax. This case is notable due to a favourable outcome despite a delay in diagnosis due to a lack of pericardial effusion, a concomitant cerebrovascular event and a long delay from injury to appropriate medical treatment in the presence of a penetrating cardiac wound deep enough to cause a muscular ventricular septal defect and lacerate a primary chordae of the anterior mitral leaflet.<br><br>© The Author 2016. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.<p /> <p>Language: en</p>",
language="en",
issn="1569-9293",
doi="10.1093/icvts/ivw342",
url="http://dx.doi.org/10.1093/icvts/ivw342"
}