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Knocking after sternotomy

BMJ 2018; 362 doi: (Published 06 September 2018) Cite this as: BMJ 2018;362:k3340
  1. HHS Kharagjitsing, internal medicine specialty registrar1,
  2. J van Vooren, radiology specialty registrar2,
  3. Smak Gregoor PJH, internist-nephrologist1
  1. 1Department of Internal Medicine, Albert Schweitzer Ziekenhuis, Dordrecht, Netherlands
  2. 2Department of Radiology, Albert Schweitzer Ziekenhuis, Dordrecht, Netherlands
  1. Correspondence to Hardjit Kharagjitsing hardjit{at}

A 66 year old man presented with inferior sternal pain and a knocking feeling that worsened with coughing and movement of his upper body. He had undergone a coronary artery bypass …

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