Cardiac Trauma

Long, Brit

doi:10.1017/9781108647397.015

Cited by 1 publication

(4 citation statements)

References 60 publications

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“…(Kang et al, 2009) Even though physical examination and echocardiography are usually enough to build up a proper diagnosis and lead to adequate decision making on the next step, other studies can give important information to take into consideration. (Long, 2019)…”

Section: Clinical Manifestationsmentioning

confidence: 99%

“…This could include pneumothorax, haemothorax, pneumopericardium, mediastinal hematoma, or displaced heart, pulmonary involvement presenting contusions, etc. (Co et al, 2011;Thorson et al, 2012;Long, 2019) Nonetheless, it is very important to not overestimate the information any chest x-ray offers. Apparently normal x-rays, which are not that rare, in the context of a cardiac wound, could lead to a misdiagnosis.…”

Section: Imagingmentioning

confidence: 99%

“…As the western trauma association committee and many other authors have stablished, EDT is indicated on patients with PCI and with refractory shock or on those that required prehospital cardiopulmonary resuscitation no longer than 15 minutes. (Embrey, 2007;Burlew et al, 2012;Abou-Leila and Voronov, 2017;Long, 2019) Its praxis does not usually have the best outcomes, with surviving rates being reported from 1 to 35%. (Rhee et al, 2000;Seamon et al, 2009;Burlew et al, 2012;van Waes et al, 2012;Rabinovici, 2014;Stranch, Zarzaur and Savage, 2017;Long, 2019) Although if the patient arrives without vital signs on admission, it has a survival rate less than 1% (Burlew et al, 2012;Bamous et al, 2016) Notwithstanding, it is usually the only logical course of action to save a patient's life.…”

Section: Treatmentmentioning

confidence: 99%

“…However, it could take a considerable amount of time that could worsen the patient's prognosis. (Long, 2019) Whenever the general condition of a patient is stable and the studies performed show no injury whatsoever, it is a general practice to place a chest tube drainage and wait for the patients clinical evolution. (TOMASELLI et al, 2003) When the heart has an adequate exposure and the surgeon is ready to perform the definite correction, there are some measures that comes in handy.…”

Section: Treatmentmentioning

confidence: 99%

See 3 more Smart Citations

Solving the impossible. Penetrating cardiac injuries, a case series of diagnostic workup and management

Vergara-Miranda

Álvarez-Lozada

Leyva-Alamillo

et al. 2021

IJMSS

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For a long time, any heart-based injury was an off-limits area for surgeons; a patient with a traumatic cardiac injury was doomed to die. Little more than one hundred years have passed since the first surgical correction of a penetrating cardiac injury and there is still a high rate of mortality, despite the medical advances. We present the case of 6 patients with penetrating cardiac injuries that were repaired at a third level hospital of Mexico, alongside relevant findings on the literature about the topic. From 2019 to 2020, an incidence of 6 patients with penetrating cardiac injuries was present; all men aged 30 years or older. The etiology of 4 (67%) patients was stab wounds and 2 (33%) gunshot wounds. Left anterolateral thoracotomy was used on 5 (83%) patients and midline sternotomy on 1 (17%) patient. 2 (33%) injuries on the left ventricle presented along with coronary arteries injuries. Left ventricle and right atrium injuries presented each 50% of mortality. The mortality was of 33%, 1 patient died due to intraoperative complications and another one due to massive cerebral infarction and polyuric syndrome because of diabetes insipidus. There is a long path ahead of the surgical field on this topic and further to be analyzed. An excellent tool for cardiac tamponade diagnosis due to penetrating cardiac injuries is cardiac ultrasound, therefore it should be used on every hemodynamic unstable patient in the context of PCI. Definitively, time is of the essence, and the survival of patients depends on immediate transport to a hospital and an opportune surgical intervention.

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Section: Clinical Manifestationsmentioning

confidence: 99%

Section: Imagingmentioning

confidence: 99%