Delayed diagnosis and management of an "occult" stab wound to the heart

Robert A. DuBose, Riyad Karmy-Jones

Research output: Contribution to journalArticlepeer-review

7 Scopus citations


Stab wounds to the heart can present without clinical evidence of injury. Echocardiography has been advocated as an alternative to subxyphoid exploration in these cases. We present a case in which two serial echocardiography exams missed a diagnosis. Electrocardiographic changes and elevation of serial troponin I levels suggested the diagnosis, which was confirmed by thoracoscopy. Repair was facilitated by use of adenosine cardiac standstill.

Original languageEnglish (US)
Pages (from-to)879-881
Number of pages3
JournalAmerican Surgeon
Issue number10
StatePublished - 2005
Externally publishedYes

ASJC Scopus subject areas

  • Surgery


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