University of Amazonas State, Manaus, AM, Brazil.
Adriano Jorge Hospital Foundation, Manaus, AM, Brazil.
Braz J Cardiovasc Surg. 2020 Dec 1;35(6):1017-1019. doi: 10.21470/1678-9741-2019-0130.
A case of a 49-year-old patient, male, victim of stab wound, developing belatedly cardiac tamponade and hemodynamic stability was reported. The patient underwent a pericardial window with drainage of pericardial effusion of blackened aspect; however, without visualization of the cardiac lesion, enlargement of the incision by median sternotomy was opted for. A hematoma was spotted at the left ventricle with epicardial lesion and a patch of pericardium was made with 3-0 polypropylene. The patient developed acute pulmonary edema and atrial fibrillation, which improved after the intensive care unit clinical management, with hospital discharge in the 7th postoperative day.
现报道 1 例 49 岁男性患者，刀刺伤后迟发性心脏压塞且血流动力学稳定。患者行心包开窗术，引流出黑色外观的心包积液；然而，由于未能观察到心脏损伤，故选择经胸骨正中切开术扩大切口。发现左心室有血肿合并心外膜损伤，用 3-0 聚丙稀修补心包。患者出现急性肺水肿和心房颤动，经重症监护病房临床治疗后改善，术后第 7 天出院。
