Ischemic Stroke during Intensive Treatment of Cardiac Tamponade after Blunt Chest Trauma |
흉부 둔상으로 발생한 심장눌림증 치료 중 발생한 허혈성 뇌졸중 |
김재국*ㆍ문윤수†ㆍ권오상†ㆍ이민구†ㆍ성원영‡ |
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 |