Acute myocardial infarction and mechanical complications due to a penetrating knife injury of the heart

Martín-Reyes, Roberto; Lobato, Miguel Ángel Navas; Peinado, Rafaél; Sánchez‐Recalde, Ángel; Moreno, Raúl; Yangüela, Mar Moreno; Sendón, José Luis López; Blázquez, Iván Gómez

doi:10.1093/eurheartj/ehn040

Cited by 2 publications

(3 citation statements)

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“…An iatrogenic tamponade would lead to a fatal decrease of cardiac output [30,[47][48][49][50]. The implantation of a bovine patch [51,52] could prevent the cardiac compartment syndrome. The ischemia of the pulmonary structures [48], especially the non-cardiac swelling of the lung [49], could lead to low blood pressure [44][45][46][47]50] and an increase of the ventilation parameters when the chest is closed initially.…”

Section: Emergency Surgerymentioning

confidence: 99%

“…To exclude intracardial lesions (perimembranous interventricular septum anomaly, heart valve vitium), and to decide about a secondary transfer in a cardio-surgical centre [71], a transthoracic or transesophageal echocardiography should be performed [3,19,28,45,51]. When insufficient oxygenation or hypercapnic respiratory insufficiency is detected, early extracorporeal oxygenation procedures, like ECMO (extracorporeal membrane oxygenation) or ILA (intervential lung assist) should be performed [60,72].…”

Section: Further Measuresmentioning

confidence: 99%

“…Usually after 24 to 48 hours a re-operation is performed. Then the tamponades can be extracted and the chest can be closed after placing a large-lumen drainage [4, 29,30,36,44,46,50,51].…”

Section: Further Measuresmentioning

confidence: 99%

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Delayed Cardiac Rupture Induced by Traumatic Myocardial Infarction: Consequence of a 45-Magnum Blast Injury; A Comprehensive Case Review

Rupprecht¹,

Gaab²

2018

BEAT

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A penetrating chest trauma, a myocardial contusion or a myocardial infarction can lead to a cardiac rupture, which is linked to an extreme high death rate. Only few cases with delayed perforation of the myocardium have been reported in literature. We report about a penetrating gunshot injury, which led to a myocardial contusion with secondary delayed rupture of the left ventricle and the left inferior lobe of the lung. The leakage of the lesion in the left ventricle could be sealed sufficiently with fibrin-coated collagen fleeces after adapting stitches with Prolene 2-0. For additional stabilization of the vulnerable myocardium area, a bovine patch has been placed on the damaged ventricle. Fibrin fleeces are used successfully in cardiac surgery, as in our case, to seal the leakage of the lesion in the left ventricle. The implantation of a bovine patch in the pericardium could prevent a cardiac compartment syndrome with a fatal pericardial tamponade. To prohibit a thoracic compartment syndrome a modified Bogota bag could be sewed in for temporarily closure of the chest. In most cases penetrating cardiac injuries can be treated without heart-lung-machines. An immediate transfer to a cardio-surgical center is, due to the acute situation, not possible. If a surgeon with thoraco-surgical expertise is present a transfer is not absolutely necessary,

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Section: Emergency Surgerymentioning

confidence: 99%

Section: Further Measuresmentioning

confidence: 99%

See 1 more Smart Citation

Delayed Cardiac Rupture Induced by Traumatic Myocardial Infarction: Consequence of a 45-Magnum Blast Injury; A Comprehensive Case Review

Rupprecht¹,

Gaab²

2018

BEAT

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Aortic valve regurgitation with aorto-right ventricular fistula following penetrating cardiac injury

Barbosa¹,

Quiroga²,

Otero³

et al. 2011

Interactive CardioVascular and Thoracic Surgery

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Aortic valve perforation due to a penetrating cardiac injury is extremely rare, especially with an associated shunt between the right ventricle and the aortic valve. We report here the case of an 18-year-old male, who after suffering a chest stab injury, was seen at another institution where he underwent an emergency left anterolateral thoracotomy and right ventricular suture. During the following 30 days, his course was torpid, complicated by a ventilator-associated pneumonia and heart failure with acute pulmonary edema. Workup confirmed the presence of an acute aortic regurgitation due to perforation of the right coronary leaflet with an interventricular shunt. After implementing appropriate medical treatment, the valve was replaced with a mechanical prosthesis and the shunt was closed with an autologous pericardial patch.

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Acute myocardial infarction and mechanical complications due to a penetrating knife injury of the heart

Cited by 2 publications

References 0 publications

Delayed Cardiac Rupture Induced by Traumatic Myocardial Infarction: Consequence of a 45-Magnum Blast Injury; A Comprehensive Case Review

Delayed Cardiac Rupture Induced by Traumatic Myocardial Infarction: Consequence of a 45-Magnum Blast Injury; A Comprehensive Case Review

Aortic valve regurgitation with aorto-right ventricular fistula following penetrating cardiac injury

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