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Breaking the rules! Cardiac injury from remote entry sites.
  1. V Pathi,
  2. F W Sutherland,
  3. A Ireland,
  4. K G Davidson
  1. Department of Cardiothoracic Surgery, Royal Infirmary, Alexandra Parade, Glasgow, UK.


    An unusual case of penetrating injury to the heart is reported. This presented late, after an initial silent period. A high index of suspicion must be maintained when chest injuries are managed conservatively. If there is doubt, a subxiphoid pericardial window may allow cardiac injury to be excluded.

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