RESUMO
We present a case of open thoracic traumatism with heart wound and pericardial tamponade. The echocardiographic findings were inconclusive and contrast-enhanced computed tomography (CT) with fine reconstructions was performed. We discuss the role of CT with emphasis on the radiological signs related to myocardial perforation, hematic pericardial effusion, and cardiac tamponade, as well as ruling out other associated lesions. CT was useful in the evaluation of hemodynamically stable patients with open cardiac wounds and inconclusive echocardiographic findings.
Assuntos
Tamponamento Cardíaco/diagnóstico por imagem , Tamponamento Cardíaco/etiologia , Ventrículos do Coração/diagnóstico por imagem , Ventrículos do Coração/lesões , Traumatismos Torácicos/complicações , Traumatismos Torácicos/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Ferimentos Penetrantes/complicações , Ferimentos Penetrantes/diagnóstico por imagem , Adolescente , Humanos , MasculinoRESUMO
Se presenta un caso de traumatismo torácico abierto con herida cardíaca y taponamiento pericárdico, con ecocardiografía no concluyente, al que se le realiza una tomografía computarizada (TC) tras la administración de contraste intravenoso, con reconstrucciones finas. Se comenta el papel de la TC con énfasis en la semiología radiológica relacionada con la perforación miocárdica, derrame pericárdico hemático y taponamiento cardíaco, así como para descartar otras lesiones asociadas. La TC se mostró como un método diagnóstico útil en la evaluación de pacientes con traumatismo cardíaco abierto y sospecha de herida cardíaca en pacientes hemodinámicamente estables y ecografía no concluyente
We present a case of open thoracic traumatism with heart wound and pericardial tamponade. The echocardiographic findings were inconclusive and contrast-enhanced computed tomography (CT) with fine reconstructions was performed. We discuss the role of CT with emphasis on the radiological signs related to myocardial perforation, hematic pericardial effusion, and cardiac tamponade, as well as ruling out other associated lesions. CT was useful in the evaluation of hemodynamically stable patients with open cardiac wounds and inconclusive echocardiographic findings
