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J Acute Care Surg > Volume 4(2); 2014 > Article
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Journal of Acute Care Surgery 2014;4(2):85-90.
DOI: https://doi.org/10.17479/jacs.2014.4.2.85    Published online October 30, 2014.
Ischemic Stroke during Intensive Treatment of Cardiac Tamponade after Blunt Chest Trauma
흉부 둔상으로 발생한 심장눌림증 치료 중 발생한 허혈성 뇌졸중
김재국*ㆍ문윤수ㆍ권오상ㆍ이민구ㆍ성원영
을지대학교 의과대학 *신경학교실, 외과학교실, 응급의학교실
Received: 18 August 2014   • Revised: 2 October 2014   • Accepted: 5 October 2014
Abstract
Traumatic cardiac tamponade is rare after blunt chest trauma, but is a life threatening condition. Echocardiography is the primary imaging modality for the diagnosis of cardiac tamponade. Cardiac tamponade treatment is based on the clinical presentation and may need a pericardiocentesis or surgical drainage. Cardiac tamponade after blunt chest trauma may trigger paradoxical right to left shunt in the patient with patent foramen ovale. We present a case of ischemic stroke that developed during treatment of a young cardiac tamponade patient after blunt chest trauma. (J Acute Care Surg 2014;4:85-90)
Key Words: Blunt Chest Trauma, Cardiac Tamponade, Ischemic Stroke
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