scholarly journals A Case of an Advanced Chain of Survival in Penetrating Cardiac Injury

2019 ◽  
Vol 2019 ◽  
pp. 1-2
Author(s):  
Mads Jønsson Andersen ◽  
Frank V. De Paoli ◽  
Rikke Mærkedahl ◽  
Søren Vad Jepsen ◽  
Karoline Skov Dalgaard ◽  
...  
Keyword(s):  
Trauma Center ◽  
Emergency Services ◽  
Cardiac Injury ◽  
Tension Pneumothorax ◽  
Transport Systems ◽  
Spontaneous Respiration ◽  
Long Distance ◽  
Cardiac Trauma ◽  
Continuous Drainage ◽  
Penetrating Cardiac Injury

The survival rate of penetrating cardiac trauma is dismal, with only a few patients reaching the hospital with any signs of life. Short transport time and close proximity to the trauma center are positive factors for survival. We report the successful case of a 21-year-old male with penetrating cardiac injury and tension-pneumothorax with long distance to a trauma facility. The patient was stabbed twice in the anterior left side of the thorax. The emergency services found the patient with suspicion of left tension-pneumothorax. Urgent left mini-thoracotomy was established resulting in spontaneous respiration and clinical improvement. Due to rapid clinical deterioration and clinical suspicion of pericardial tamponade, patient was transported to the local regional hospital only minutes away. Echocardiography confirmed tamponade, and urgent ultrasound-guided pericardiocentesis was performed. During the transport blood was intermittently drained from the pericardial sack until arrival at the trauma center where a penetrating injury to the left ventricle was repaired during urgent cardiac surgery. The patient was discharged 8 days after the incident. Conclusion. Well organized emergency medical transport systems increase the chance of survival in penetrating cardiac injuries. Urgent pericardiocentesis with continuous drainage can help stabilize a patient until arrival at trauma facility.

scholarly journals Cardiac Injuries at Estonian Major Trauma Facilities: A 23-year Perspective

2018 ◽  
Vol 108 (2) ◽  
pp. 159-163 ◽  
Author(s):  
M. Einberg ◽  
S. Saar ◽  
A. Seljanko ◽  
A. Lomp ◽  
U. Lepner ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Primary Outcome ◽  
Major Trauma ◽  
Alcohol Intoxication ◽  
Cardiac Injury ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Cardiac Trauma ◽  
Icd 10 ◽  
Overall Mortality

Background and Aims: Cardiac injuries are highly lethal lesions following trauma and most of the patients decease in pre-hospital settings. However, studies on cardiac trauma in Estonia are scarce. Thus, we set out to study cardiac injuries admitted to Estonian major trauma facilities during 23 years of Estonian independence. Materials and Methods: After the ethics review board approval, all consecutive patients with cardiac injuries per ICD-9 (861.0 and 861.1) and ICD-10 codes (S.26) admitted to the major trauma facilities between 1 January 1993 and 31 July 2016 were retrospectively reviewed. Cardiac contusions were excluded. Data collected included demographics, injury profile, and in-hospital outcomes. Primary outcome was mortality. Secondary outcomes were cardiac injury profile and hospital length of stay. Results: During the study period, 37 patients were included. Mean age was 33.1 ± 12.0 years and 92% were male. Penetrating and blunt trauma accounted for 89% and 11% of the cases, respectively. Thoracotomy and sternotomy rates for cardiac repair were 80% and 20%, respectively. Most frequently injured cardiac chamber was left ventricle at 49% followed by right ventricle, right atrium, and left atrium at 34%, 17%, and 3% of the patients, respectively. Multi-chamber injury was observed at 5% of the cases. Overall hospital length of stay was 13.5 ± 16.7 days. Overall mortality was 22% (n = 8) with uniformly fatal outcomes following left atrial and multi-chamber injuries. Conclusion: Overall, 37 patients with cardiac injuries were hospitalized to national major trauma facilities during the 23-year study period. The overall in-hospital mortality was 22% comparing favorably with previous reports. Risk factors for mortality were initial Glasgow Coma Scale < 9, pre-hospital cardiopulmonary resuscitation, and alcohol intoxication.

Penetrating Cardiac Injury

2009 ◽  
Vol 155 (3) ◽  
pp. 185-190 ◽  
Author(s):  
J. O'Connor ◽  
M. Ditillo ◽  
T. Scalea
Keyword(s):  
Cardiac Injury ◽  
Penetrating Cardiac Injury

scholarly journals Successful management of penetrating cardiac injury using TachoSil®

Injury Extra ◽  
2012 ◽  
Vol 43 (12) ◽  
pp. 142-143 ◽  
Author(s):  
Sadiq Siddiqui ◽  
Luther Keita ◽  
Davendra Veerasingham
Keyword(s):  
Cardiac Injury ◽  
Successful Management ◽  
Penetrating Cardiac Injury

Trans-sternal penetrating cardiac injury

2008 ◽  
Vol 24 (2) ◽  
pp. 164-164
Author(s):  
Youssef El Bekkali ◽  
Abdellatif Boulahya ◽  
Abdelmajid El Kirat ◽  
Hassane El Kabiri
Keyword(s):  
Cardiac Injury ◽  
Penetrating Cardiac Injury

Case Report: Penetrating Cardiac Injury Secondary to a Terrorism-Related Nail Bomb Explosion

2003 ◽  
Vol 18 (3) ◽  
pp. 249-252 ◽  
Author(s):  
Yasufumi Asai ◽  
Masashi Yoshida ◽  
Yoshihiko Kurimoto ◽  
Jeffrey L. Arnold
Keyword(s):  
Myocardial Infarction ◽  
Case Report ◽  
Unusual Case ◽  
Surgical Intervention ◽  
Cardiac Injury ◽  
Pericardial Tamponade ◽  
Stab Wounds ◽  
Penetrating Cardiac Injury ◽  
Bomb Explosion ◽  
Prompt Diagnosis

AbstractPenetrating cardiac injuries commonly occur secondary to gunshot or stab wounds. This is a report an unusual case of a patient who sustained a penetrating cardiac injury due to a nail from a terrorism-related, nail-bomb explosion. Associated problems included pericardial tamponade, penetrating cardiac injuries, acute, traumatic, myocardial infarction, and a penetrating lung injury. Prompt diagnosis and aggressive surgical intervention resulted in full recovery of the patient.

scholarly journals Bullet embolization to the heart: A rare and confounding penetrating cardiac injury case report

2020 ◽  
Vol 73 ◽  
pp. 35-38
Author(s):  
Despoina Daskalaki ◽  
Hazim Hakmi ◽  
Adam Stright ◽  
Brian Mitzman ◽  
Evan R. Mair ◽  
...  
Keyword(s):  
Case Report ◽  
Cardiac Injury ◽  
Penetrating Cardiac Injury

scholarly journals Penetrating Cardiac Injury

2005 ◽  
Vol 15 (1) ◽  
pp. 80-82 ◽  
Author(s):  
Magdy Giurgius ◽  
Fahad Al Asfar ◽  
Piyaray M. Dhar ◽  
Nema Al Awadi
Keyword(s):  
Cardiac Injury ◽  
Penetrating Cardiac Injury

Sewing needle: a rare cause of intra-cardiac foreign body in a 3-year-old child

2016 ◽  
Vol 26 (7) ◽  
pp. 1425-1427 ◽  
Author(s):  
Sandeep Choudhary ◽  
Suresh Pujar Venkateshacharya ◽  
Chinnaswamy Reddy
Keyword(s):  
Domestic Violence ◽  
Child Abuse ◽  
Foreign Body ◽  
Cardiac Tamponade ◽  
Cardiac Injury ◽  
Suicidal Attempt ◽  
Valve Dysfunction ◽  
Sewing Needle ◽  
Cardiac Foreign Body ◽  
Penetrating Cardiac Injury

AbstractSewing needles are rare causes of penetrating cardiac injury. Suicidal attempt, accidental penetration, domestic violence, and child abuse are likely causes for such injury.1 Owing to their sharp nature, needles can rapidly migrate through the tissues. Fatalities are due to cardiac tamponade, infection, peripheral embolism, and valve dysfunction.

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