Acute Traumatic Pericardial Tamponade.
AJTES Vol 3, No 1, July 2019
Full Text PDF


acute traumatic pericardial tamponade
chest wounds

How to Cite

Kuçi, S., Bulku, E., Ibrahimi, A., Bejko, E., Llazo, S., Burimi, J., & Likaj, E. (2019). Acute Traumatic Pericardial Tamponade. Albanian Journal of Trauma and Emergency Surgery, 3(1), 299-304.


Acute traumatic pericardial tamponade is a serious and rapidly fatal injury. As penetrating chest wounds are becoming more cammon, early diagnosis of tamponade is important so that life savingtreatement can be started. The classical features of tamponade may a be modified by hypovolemia and the presence of associated injuries. Acute tamponade may also be precipitated by rapid administration of large volumes of fluid. Echocardiography is limited by availability and operator dependence. Pericardiocentesis, while sometimes life saving is dangereous and limited value. A higher deagree of clinical suspincion in patients with chest injuries, together with close monitoring and revaluation, particulary during volume remplancement is essential. This paper describes one patient presented to the emergency department of University Hospital Center “Mother Theresa “ and it discusses the epidemiology and management principles of acute tamponade.
Full Text PDF


Sugg WL, Rea WJ, Ecker RR, Webb WR, Rose EF, Shaw RR. Penetrating wounds of the heart:an analysis of 459 cases. J Thorac Cardiovasc Surg 1968; 56:531-45.

Demetriades D, Vander Veen BW Penetrating injuries to the heart: experience over two years in South Africa. J Trauma 1983 ;23:1034-41.

Jorden RC. Penetrating chest trauma. Emerg Med Clin North Am 1993; 11:97-106.

BeckCS.Two cardiac compression triads. JAMA 1935;104: 714-6.

Steedman DJ, Beard D. Preliminary analysis of the care of injured patients in five Scottish teaching hospitals. First report from the Scottish Trauma Audit Group (STAG). Health Bull 1995; 53:55-65.

Bleetman A, Kasem H, Crawford R. Review of emergency of thoracotomy for chest injuries in patients attending a UK Accident and Emergency department. Injury 1996;27: 129-32.

Borlase MC, Metcalf RK, Moore EE. Am J Surg 1986; 152:649-53.

Karrel R,Shaffer MA, Franaszek JB. Emergency diagnosis, resuscitation and treatment of acute penetrating cardiac trauma. Ann Emerg Med 1982; 11:504-17.

Martin RR, Bickell WH, Pepe PE, Burch JM, Mattox KL. Prospective evaluation of preoperative resuscitation in hypotensive patients with penetrating truncal injuries: a preliminary report. J Trauma 1992;33: 354-62.

Westaby S. 81:929-31. Advanced trauma life support program handbook. Chicago

American College of Surgeons, 1993. Siemens R, Polk HC, Gray LA, Fulton RL. Indications for Thoracotomy following penetrating thoracic injury. J Trauma 1977; 17:493-500.

Trinkel JK, Toon RS, Franz JL, Arom KV, Grover FL. Trauma 1979;19:467-14 Reid CL, Kawanishi DT, Rahimtoola SH, Chandraratna PAN. Chest trauma: evaluation by two-dimensional. Am HeartJ1987; 113:971-6.

Freshman SP, Wisner DH, Weber CJ. 2-D Echo- cardiography emergent use in the evaluation of penetrating precordial trauma. JTrauma1991;31:902-6.

Arreola-Risa C, Rhee P, Boyle EM, Maier RV, Jurkovich GG, Foy HM. Factors influencing outcome in stab wounds of the heart. Am J Surg 1995;169:553-6.

Asensio JA, Stewart BM, Murray J, Fox AH, Falabella A, North Am 1996;76:685-724.

Lewis G, Knottenbelt JD. Should emergency room thoracotomy be reserved for cases of cardiac tamponade? Injury 1991;22:5-6.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.