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J Korean Soc Emerg Med > Volume 18(6); 2007 > Article
Journal of The Korean Society of Emergency Medicine 2007;18(6): 615-617.
Cardiac Tamponade presenting to the Emergency Department after Pinning of a Clavicle Fracture
Won Young Sung, Jang Young Lee, Young Mo Yang, Sung Yeup Hong
Department of Emergency Medicine, College of Medicine, Eulji University, Deajon, Korea. pons1224@hanmail.net
ABSTRACT
Aortic rupture caused by migration of a clavicular pin is a rare complication sometimes seen after clavicular fracture. There are many reviews of the complications of pin migration following surgery on the shoulder girdle. It is uncommon, though, for clavicular pin migration to result in aortic rupture and a subsequent cardiac tamponade. This unusual injury can be presented as acute shock symptoms after the previous pinning operation of a clavicle fracture, and it manifests characteristics that can be detected through computed tomography (CT) and focused by abdominal sonography for trauma (FAST). We report a case in which a patient suffered an aortic rupture induced cardiac tamponade caused by clavicular pin migration following surgery for a clavicular midshaft fracture.
Key words: Cardiac Tamponade, Clavicle, Fracture Fixation, Bone Wires
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