Penetrating Heart Injuries and Common Difficulties Encountered During Emergency Surgery

Abstract

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An Interesting Penetrating Cardiac Injury and Massive Transfusion: A Case Report

“…Cardiac tamponade which occurs in PCIs involving only the right ventricle may have a positive effect on survival by limiting bleeding. The survival rate of PCIs affecting the right side and left side of the heart is 79%, and 28%, respectively (7). Our case had hematoma in the pericardium in all operations.…”

“…In certain cases who were able to reach hospital and survive, it was seen that pericardium remained intact, preventing blood loss. However, acute cases depending on tamponade can be also seen (7). Medical history, physical examination, injury location, and clinical findings may be sufficient for the diagnosis.…”

“…Heart injuries should be suspected in case of injuries which are in front of the chest, between the nipples, between the sternum jugular notch and upper abdomen (2). In precordial SWs, involuntary defecation is a symptom of cardiac injury and needs an urgent intervention (7). Chest radiography and computed tomography imaging are the most useful diagnostic methods.…”

Analysis of cardiac and pulmonary injuries resulting from an experimental penetrating thoracic injury

“…Tokur et al presented a case series of 11 penetrating cardiac injuries that were surgically intervened. [3] In their series, they detected a valve laceration in one patient in post-surgery echocardiography, a lacerated coronary artery in another patient during the surgery, and a left ventricle posterior wall injury in another patient. Cha et al reported that among 71 penetrating cardiac injury patients observed over a period of 10 years, 48 survived their injuries and 11 had post-surgery sequales.…”

“…Tokur et al [3] reported accompanying pulmonary injuries in six patients out of 11 who suffered penetrating cardiac injuries. Similarly, Kaplan et al [7] reported that in a series of 63 penetrating cardiac injury cases, 34% had accompanying pulmonary injuries.…”