Complete Heart Block Following Penetrating Chest Trauma in Operation Iraqi Freedom

Eckart, Robert E.; Falta, Edward M.; Stewart, Robert W.

doi:10.1111/j.1540-8159.2008.01057.x

Cited by 7 publications

(6 citation statements)

References 10 publications

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“…This ventricular septal defect was felt to be traumatic, given the patient’s previous history of normal physical examinations and the irregular appearance of the defect’s superior margin. Traumatic heart block is also rare and can occur in isolation or in combination with a traumatic ventricular septal defect 5 . This case illustrates the presentation of two rare findings occurring in combination.…”

Section: Discussionmentioning

confidence: 82%

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Traumatic Gerbode ventricular septal defect and third-degree heart block

2016

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Section: Discussionmentioning

confidence: 82%

“…Traumatic heart block is also rare and can occur in isolation or in combination with a traumatic ventricular septal defect. 5 This case illustrates the presentation of two rare findings occurring in combination. In this case, echocardiography provided prompt and accurate diagnostic information.…”

Section: Discussionmentioning

confidence: 83%

Traumatic Gerbode ventricular septal defect and third-degree heart block

2016

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“…Brady-arrhythmia is uncommon in both blunt and penetrating traumas [7][8][9]. Although a rare entity, complete heart block can occur and be persistent, requiring temporary or even permanent pacemaker [8][9][10].…”

Section: Discussionmentioning

confidence: 99%

“…Eckart et al [10] reviewed a case of a 30-year-old US army soldier who had penetrating chest trauma with focal cardiac injury. Patient had penetration of his right atrium and subsequent traumatic membranous ventricular septal defect.…”

Section: Discussionmentioning

confidence: 99%

Cardiac Penetrating Injury with Complete Heart Block: A Case Report

et al. 2022

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The development of heart block following cardiac penetrating injury is rare, and only few cases can be found in the literature. This uncommon healthcare emergency has shown to be a medical challenge for healthcare personnel, and it manifests very high mortality rates of 80–90% among its victims. The pre-hospital management and transport time for these cases are vital and can dictate the possible outcome for the victim. In this article, we present the first case ever reported in the Gulf Region about complete heart block as a consequence of penetrating chest injury. Our patient was a 35-year-old male who had a stab wound on the right side of chest wall and who developed complete heart block in the Emergency Department (ED) as a result of the injury. Patient was rapidly diagnosed and managed in ED and then was shifted to the operating theater for immediate surgical repair. However, despite anatomical correction during the surgery he remained hypotensive and bradycardic. When a hemodynamic stability was achieved, he was then placed on a temporary pacemaker and later on a permanent pacemaker by the cardiology team.

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“…Approximately 30% cases of penetrating heart injury could be diagnosed by ECG with the presence of the following signs: low QRS voltage, ST-segment elevation, inverted T waves, etc. [ 42 , 43 ].…”

Section: Early Treatments For Wartime Thoracic Injury In Modern Warfamentioning

confidence: 99%

Chinese expert consensus on echelons treatment of thoracic injury in modern warfare

et al. 2018

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The emergency treatment of thoracic injuries varies of general conditions and modern warfare. However, there are no unified battlefield treatment guidelines for thoracic injuries in the Chinese People’s Liberation Army (PLA). An expert consensus has been reached based on the epidemiology of thoracic injuries and the concept of battlefield treatment combined with the existing levels of military medical care in modern warfare. Since there are no differences in the specialized treatment for thoracic injuries between general conditions and modern warfare, first aid, emergency treatment, and early treatment of thoracic injuries are introduced separately in three levels in this consensus. At Level I facilities, tension pneumothorax and open pneumothorax are recommended for initial assessment during the first aid stage. Re-evaluation and further treatment for hemothorax, flail chest, and pericardial tamponade are recommended at Level II facilities. At Level III facilities, simple surgical operations such as emergency thoracotomy and debridement surgery for open pneumothorax are recommended. The grading standard for evidence evaluation and recommendation was used to reach this expert consensus.

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Complete Heart Block Following Penetrating Chest Trauma in Operation Iraqi Freedom

Cited by 7 publications

References 10 publications

Traumatic Gerbode ventricular septal defect and third-degree heart block

Traumatic Gerbode ventricular septal defect and third-degree heart block

Cardiac Penetrating Injury with Complete Heart Block: A Case Report

Chinese expert consensus on echelons treatment of thoracic injury in modern warfare

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