Delayed complications after myocardial contusion. Issue 11 (November 1992)

• Record Type: Journal Article
• Authors: Grech, E D; Dodds, P A; Perry, R A
• Is Part Of: Heart. Volume 68:Issue 11(1992)
• Page Start: 529
• Page End: 530
• Publication Date: 1992-11
• Subjects: Heart -- Diseases -- Treatment -- Periodicals; Cardiology -- Periodicals; 616.12
• DOI: 10.1136/hrt.68.11.529
• Languages: English
• ISSNs: 1355-6037

Abstract

Abstract : A 45 year old farmer was kicked in the chest by a horse. In the days following the injury episodic breathlessness developed and he was admitted to hospital with right ventricular failure and pulmonary emboli. Echocardiography showed global right ventricular dysfunction but a right ventricular mural thrombus, the likely source of the pulmonary emboli, was not seen. He gradually recovered after treatment with anticoagulant. One month later he presented with a further complication—complete atrioventricular dissociation—that required a dual chamber pacemaker implantation. This patient had few initial manifestations of right ventricular myocardial contusion and this case illustrates that such patients should be closely monitored for delayed complications.