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Article
August 28, 1897

TRAUMATIC RUPTURE OF THE HEART WITHOUT EXTERNAL LESION.

JAMA. 1897;XXIX(9):449. doi:10.1001/jama.1897.02440350047009

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Abstract

Wounds of the heart, while not actually rare, are by no means common. Occasionally recovery may follow such injury without surgical intervention, but as a rule death results. Recent experience in several recorded cases has shown that incised wounds of the heart are susceptible of successful surgical treatment, provided of course the lesion be not too extensive, the loss of blood not too large and the measures of relief are employed without undue delay. Contused and indirect wounds of the heart are even less common and naturally more difficult of recognition and correspondingly less amenable to surgical intervention. An interesting case of this sort, in which death took place suddenly a month after the reception of the injury has been placed on record by Groom (Lancet, May 1, 1897, p. 1202). A lad 16 years old was caught between the shaft of a trap drawn by a runaway pony and

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