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Clinical Pediatrics
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Superior Vena Cava Perforation in a Child from a Lawnmower Projectile

Wesley A. McKamie, CCP

Pediatric and Congenital Cardiothoracic Surgery University of Arkansas for Medical Sciences

Michael L. Schmitz, MD

Pediatric and Congenital Cardiothoracic Anesthesiology University of Arkansas for Medical Sciences, schmitzmichaell{at}uams.edu

Charles E. Johnson, RN, CCP

Pediatric and Congenital Cardiothoracic Surgery University of Arkansas for Medical Sciences

Trenda Ray, RNP, MNSc

Pediatric and Congenital Cardiothoracic Surgery University of Arkansas for Medical Sciences

Garrett B. Sanford, MD

Division of Pediatric Cardiology, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, Arkansas

Umesh Dyamenahalli, MD

Division of Pediatric Cardiology, University of Arkansas for Medical Sciences, Arkansas Children's Hospital, Little Rock, Arkansas

Michiaki Imamura, MD, PhD

Pediatric and Congenital Cardiothoracic Surgery University of Arkansas for Medical Sciences

Lawnmowers are one of the most frequent causes of mutilating injuries to children. The majority of accidents are caused by negligence of the operator. Most injuries of this type are caused by direct contact with the spinning blade and, less frequently, by projectiles propelled by the blade. Such projectiles usually produce bruises, but can penetrate skin and soft tissues. This report presents a 6-year-old child who suffered a small, outwardly insignificant puncture wound of the chest from a lawnmower-propelled projectile who presented with fever and chest pain the following day. The diagnostic work up and treatment of this deceptively life-threatening wound are discussed.

Key Words: accidents • home • child • humans • wounds • penetrating • vena cava • superior • mediastinum • cardiopulmonary bypass • lawnmower • echocardiography

References

This version was published on December 1, 2007

Clinical Pediatrics, Vol. 46, No. 9, 847-849 (2007)
DOI: 10.1177/0009922807303927


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This Article
Right arrow Abstract Freely available
Right arrow Free Full Text (Free PDF) Free
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in Web of Science
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Saved Citations
Right arrow Download to citation manager
Right arrowRequest Permissions
Right arrow Request Reprints
Right arrow Add to My Marked Citations
Citing Articles
Right arrow Citing Articles via Google Scholar
Right arrow Citing Articles via Scopus
Google Scholar
Right arrow Articles by McKamie, W. A.
Right arrow Articles by Imamura, M.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by McKamie, W. A.
Right arrow Articles by Imamura, M.
Social Bookmarking
 Add to CiteULike   Add to Complore   Add to Connotea   Add to Del.icio.us   Add to Digg   Add to Reddit   Add to Technorati   Add to Twitter  
What's this?