Delayed diagnosis and management of an "occult" stab wound to the heart

Robert DuBose, Riyad Karmy-Jones

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Stab wounds to the heart can present without clinical evidence of injury. Echocardiography has been advocated as an alternative to subxyphoid exploration in these cases. We present a case in which two serial echocardiography exams missed a diagnosis. Electrocardiographic changes and elevation of serial troponin I levels suggested the diagnosis, which was confirmed by thoracoscopy. Repair was facilitated by use of adenosine cardiac standstill.

Original languageEnglish (US)
Pages (from-to)879-881
Number of pages3
JournalAmerican Surgeon
Volume71
Issue number10
StatePublished - 2005
Externally publishedYes

Fingerprint

Stab Wounds
Delayed Diagnosis
Echocardiography
Thoracoscopy
Troponin I
Adenosine
Wounds and Injuries

ASJC Scopus subject areas

  • Surgery

Cite this

Delayed diagnosis and management of an "occult" stab wound to the heart. / DuBose, Robert; Karmy-Jones, Riyad.

In: American Surgeon, Vol. 71, No. 10, 2005, p. 879-881.

Research output: Contribution to journalArticle

DuBose, Robert ; Karmy-Jones, Riyad. / Delayed diagnosis and management of an "occult" stab wound to the heart. In: American Surgeon. 2005 ; Vol. 71, No. 10. pp. 879-881.
@article{bc288762e4e242c48ce934921269694a,
title = "Delayed diagnosis and management of an {"}occult{"} stab wound to the heart",
abstract = "Stab wounds to the heart can present without clinical evidence of injury. Echocardiography has been advocated as an alternative to subxyphoid exploration in these cases. We present a case in which two serial echocardiography exams missed a diagnosis. Electrocardiographic changes and elevation of serial troponin I levels suggested the diagnosis, which was confirmed by thoracoscopy. Repair was facilitated by use of adenosine cardiac standstill.",
author = "Robert DuBose and Riyad Karmy-Jones",
year = "2005",
language = "English (US)",
volume = "71",
pages = "879--881",
journal = "The American surgeon",
issn = "0003-1348",
publisher = "Southeastern Surgical Congress",
number = "10",

}

TY - JOUR

T1 - Delayed diagnosis and management of an "occult" stab wound to the heart

AU - DuBose, Robert

AU - Karmy-Jones, Riyad

PY - 2005

Y1 - 2005

N2 - Stab wounds to the heart can present without clinical evidence of injury. Echocardiography has been advocated as an alternative to subxyphoid exploration in these cases. We present a case in which two serial echocardiography exams missed a diagnosis. Electrocardiographic changes and elevation of serial troponin I levels suggested the diagnosis, which was confirmed by thoracoscopy. Repair was facilitated by use of adenosine cardiac standstill.

AB - Stab wounds to the heart can present without clinical evidence of injury. Echocardiography has been advocated as an alternative to subxyphoid exploration in these cases. We present a case in which two serial echocardiography exams missed a diagnosis. Electrocardiographic changes and elevation of serial troponin I levels suggested the diagnosis, which was confirmed by thoracoscopy. Repair was facilitated by use of adenosine cardiac standstill.

UR - http://www.scopus.com/inward/record.url?scp=33644961242&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=33644961242&partnerID=8YFLogxK

M3 - Article

C2 - 16468541

AN - SCOPUS:33644961242

VL - 71

SP - 879

EP - 881

JO - The American surgeon

JF - The American surgeon

SN - 0003-1348

IS - 10

ER -