Immediate surgery for traumatic heart disease

Surgical Challenges for Urgent Approach in Penetrating Heart Injuries

“…Cardiac massage should be performed in every patient with circulatory arrest to keep up the circulation [Boyd 1965]. External cardiac massage may increase the defect size and also increase extravasation of the blood from the intravascular area.…”

“…External cardiac massage may increase the defect size and also increase extravasation of the blood from the intravascular area. In the presence of pericardial fluid, the diastolic filling of the heart is impaired and the external cardiac massage is not effective and does not provide a sufficient cerebral perfusion [Boyd 1965;Frank 1971;Lorenz 1992;Millham 1993]. In these cases, external cardiac massage time should be as short as possible.…”

“…A quick and proper surgical approach is of great importance in these emergency conditions [Boyd 1965;Lorenz 1992]. The surgical team should decide quickly the approaching site that will provide an effective field.…”

Penetrating injuries of the heart

“…In 1896 Rehn for the first time successfully sutured a stab wound of the heart, and 11 years later he collected a series of 124 such cases from the literature, 40 per cent of whom recovered. The operative mortality has gradually declined, and recent reports from American hospitals quote rates as low as 15 per cent (Boyd and Strieder, 1965;Beall et al, 1966;Wilson and Bassett, 1966).…”

Τραυματικον Αιμοπερικαρδιον Και Χρονια Συμφυτικη Περικαρδιτις ("Τραυματικη Περικαρδιτις"). Πειραματικη Μελετη

“…Έφ' όσον πάντως ή περικαρδιεκτομή άποφασισθή, ή τομή εκλογής είναι ή προσθιοπλαγία μεσο πλεύριος προσπέλασις, δια του αριστερού 4ου ή 5ου μεσοπλευρίου διαστή ματος, μετά διατομής τοΰ χονδρίνου άκρου τής πλευράς άνωθεν ή κάτωθεν ή και των δύο (τομή Spangaro). (Jones 1968, Boyd 1965. 'Αφαιρείται το περικάρδιον και το επικάρδιον.…”