J.W. Randolph Bolton

Publication Details

  • 2-DIMENSIONAL ECHOCARDIOGRAPHY IN THE EVALUATION OF PENETRATING INTRAPERICARDIAL INJURIES ANNALS OF THORACIC SURGERY Bolton, J. W., Bynoe, R. P., Lazar, H. L., ALMOND, C. H. 1993; 56 (3): 506-509

    Abstract:

    Patients with penetrating pericardial trauma whose vital signs stabilize after fluid administration may present a therapeutic dilemma. Two-dimensional echocardiography has emerged as a diagnostic technique to help determine whether surgical intervention may be required. We present 5 patients with penetrating pericardial trauma whose vital signs stabilized after fluid administration and who had minimal clinical findings. In 3 of these patients, a small effusion was seen; in 2 others, no abnormalities were noted. All 5 underwent surgical exploration and had major intrapericardial injuries. We conclude that a normal echocardiographic study does not rule out major intrapericardial injury in patients with penetrating chest trauma. Furthermore, small areas of effusion seen on echocardiography in these patients represent indications for surgical exploration.

    View details for Web of Science ID A1993LY31700017

    View details for PubMedID 8379723

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