Article Text

Download PDFPDF
An unusual intracardiac shunt secondary to penetrating cardiac trauma
  1. W J C Hobbs,
  2. B Clarke,
  3. N J Odom
  1. Manchester Heart Centre, Royal Infirmary, Oxford Road, Manchester M13 9WL, UK
  1. Dr Clarke.

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

A 22 year old man was admitted to the accident and emergency department having sustained a 5 × 3 cm knife wound to the right anterior chest wall in the fourth intercostal space. He was haemodynamically stable on admission but dyspnoeic at rest. Pulse was 110 beats/min and blood pressure 106/60 mm Hg. The only abnormality on examination was dullness to percussion on the right chest wall; heart sounds were normal. A plain chest x ray confirmed a right haemothorax. Three litres of blood were drained using an intercostal drain. A median sternotomy was performed; the right internal thoracic artery, which had been transected, was ligated. A small laceration in …

View Full Text