Blunt and Penetrating Cardiac Trauma

Bellister, Seth; Dennis, Bradley M.; Guillamondegui, Oscar D.

doi:10.1016/j.suc.2017.06.012

Cited by 40 publications

(47 citation statements)

References 53 publications

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“…Autopsy reports suggest that severe cardiac injury may carry a prehospital mortality as high as 95% [8]. Mortality among those surviving to ED evaluation remains high, estimated at approximately 80% [9], and surgical intervention is associated with poor outcomes for atrial or ventricular injuries with mortality between 40 and 70% [8]. Mortality is higher in cases of left ventricular injury [10].…”

Section: Discussionmentioning

confidence: 99%

At the heart of organ donation. Case reports of organ donation after cardiac death in two patients with successfully repaired AAST grade V cardiac injuries

et al. 2019

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BackgroundTrauma victims could be an important source of organs. This article presents two cases of successful organ donation and transplant, after Maastricht category III cardiac death in patients with successfully repaired AAST grade V traumatic cardiac injuries.Case presentationThe first donor was an adult patient with self-inflicted heart stab wound and non-survivable burn injury. The second one was an adult patient with blunt cardiac and abdominal trauma and an anoxic brain injury due to a car accident. The cardiac injury was promptly repaired in both patients. In the first case, adequate organ perfusion ante-mortem was achieved thanks to venoarterial extracorporeal membrane oxygenation and intensive care unit support. The above procedure allowed successful organ donation and transplantation even after Maastricht category III cardiac death. This is the first case reported where, for organ donation purposes, it was made necessary first thing to avoid the immediate death of the patient, due to a rare and frequently not survivable cardiac injury. The challenge of preserving organ perfusion, due to major burn injury effects, was faced afterwards.ConclusionsThe outcomes of these two cases suggest that a repaired heart injury should not be considered as an absolute contraindication to organ donation, even if it is associated with non-survivable major burns. Therefore, cardiac death could provide an opportunity for these kinds of patients to contribute to the pool of potential organ donors.

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Section: Discussionmentioning

confidence: 99%

At the heart of organ donation. Case reports of organ donation after cardiac death in two patients with successfully repaired AAST grade V cardiac injuries

et al. 2019

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“…In the context of trauma, a FAST (focused assessment with sonography for trauma) scan is a rapid and accurate bedside ultrasound tool used to diagnose pericardial tamponade (89% sensitive and 99% specific). 21…”

Section: Echocardiographymentioning

confidence: 99%

Perioperative implications of pericardial effusions and cardiac tamponade

2020

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By reading this article you should be able to: Describe the anatomical and physiological features of the pericardium in relation to common causes of pericardial disease. Explain the heartelung interactions that underpin the haemodynamic manifestations of pericardial effusion and tamponade. Discuss both the clinical and echocardiographic features of pericardial tamponade. Define the aims of anaesthetic management in patients with pericardial effusion and tamponade. Pericardial disease can present clinicians with unique challenges. An understanding of the relevant pathophysiology is essential for optimal management of patients with pericardial disease. This review discusses the pathophysiology and perioperative management of patients with pericardial effusions and cardiac tamponade.

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“…Ivatury reported a mortality rate of approximately 71% following penetrating heart injuries in patients with unstable vital functions [12]. Additional diagnostic methods, such as echocardiography and spiral computed tomography (SCT), help the physicians make the right clinical decisions for patients with stable vital functions [13,14]. Similarly, patients with unstable vital functions shall undergo emergency surgery, which ensures lower mortality in this category of patients [12,15].…”

Section: Introductionmentioning

confidence: 99%

Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm

Sirko

Kyrpa

Лазоришинець

et al. 2018

Trauma Case Reports

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SummarySuccessful step-by-step treatment of a combined gunshot shrapnel injury of the brain, damaging the left middle cerebral artery (MCA) branches, and penetrating myocardium injury is discussed. Open brain and heart surgeries were performed. A left MCA pseudoaneurysm was formed postoperatively. Endovascular exclusion of the left MCA pseudoaneurysm was performed using detachable micro coils. Finally, plastic reconstruction of the posttraumatic cranial vault defect was performed using a dynamic titanium plate.Treatment of severe combined gunshot shrapnel brain injury with formation of MCA pseudoaneurysm and a penetrating myocardium injury requires a multimodal approach involving related specialists (neurosurgeon, cardiosurgeon and interventional radiologist).

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Blunt and Penetrating Cardiac Trauma

Cited by 40 publications

References 53 publications

At the heart of organ donation. Case reports of organ donation after cardiac death in two patients with successfully repaired AAST grade V cardiac injuries

At the heart of organ donation. Case reports of organ donation after cardiac death in two patients with successfully repaired AAST grade V cardiac injuries

Perioperative implications of pericardial effusions and cardiac tamponade

Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm

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