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Case Reports in Cardiology
Volume 2016, Article ID 2154748, 3 pages
Case Report

Delayed Tamponade after Traumatic Wound with Left Ventricular Compression

1Division of Cardiology, Department of Medicine, University of Toronto, Toronto, ON, Canada
2King Saud Bin Abdulaziz University for Health Sciences, Jeddah, Saudi Arabia
3Keenan Biomedical Research Centre, Li Ka Shing Knowledge Institute, St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada
4Division of Cardiology, Terrence Donnelly Heart Centre, St. Michael’s Hospital, University of Toronto, Toronto, ON, Canada

Received 17 May 2016; Accepted 10 August 2016

Academic Editor: Hajime Kataoka

Copyright © 2016 Fahad Almehmadi et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Delayed cardiac tamponade after a penetrating chest injury is a rare complication. The clinical diagnosis of tamponade is facilitated with imaging. We present a case report of a 23-year-old male who was brought to emergency after multiple stab wounds to the chest. After resuscitation and repair of laceration of right internal mammary artery and right ventricle, he was discharged but later returned with shortness of breath. Echocardiography revealed a rare case of delayed pericardial tamponade causing left ventricular collapse. The pericardial effusion was treated with emergent pericardiocentesis and later required a thoracoscopy guided pericardial window for definitive management.