Cardiac Evaluation following Heart Injury

Mattox, Kenneth L.; Limacher, Marian C.; Feliciano, David V.; Colosimo, Lee R.; O'Meara, Michael E.; Beall, Arthur C.; DeBakey, Michael E.

doi:10.1097/00005373-198508000-00005

Cited by 81 publications

(25 citation statements)

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“…It is reasonable to assume that the operative risk of pericardiectomy under these circumstances is much greater than simple removal of a pericardial foreign body. Since the likelihood of recurrent pericarditis is high, all foreign bodies lodged in the pericardium should be removed [7,8,9,10].…”

Section: Discussionmentioning

confidence: 99%

Sterile Pericarditis Leading To Cardiac Temponade from Intrapericardial Foreign Body 3 Months Following Gunshot Injury to Chest: Syndrome of Acute Intermittent Pericarditis

Mathur¹,

Devgarha²,

Sharma³

et al. 2013

IOSR-JDMS

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Section: Discussionmentioning

confidence: 99%

Sterile Pericarditis Leading To Cardiac Temponade from Intrapericardial Foreign Body 3 Months Following Gunshot Injury to Chest: Syndrome of Acute Intermittent Pericarditis

Mathur¹,

Devgarha²,

Sharma³

et al. 2013

IOSR-JDMS

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“…Echocardiograms can easily depict pericardial effusion, cardiac dyskinesia, and valvular disorders (9)(10)(11)(12).…”

Section: Discussionmentioning

confidence: 99%

Significance of incidental pericardial effusion on computed tomography in cardiac trauma: A report of two cases

Shimoyamada

Yamaguchi

Hayakawa

et al. 1996

Emergency Radiology

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We describe computed tomographic (CT) findings in two patients with cardiac injury who required emergency surgery. Chest CT revealed an unexpected low-density area, indicating pericardial effusion. We emphasize that, given the situation of trauma, an incidental low-density area covering more than two slices along the inferior border of the heart suggests pericardial effusion, which may be caused by cardiac injury. Cardiac injury due to trauma has a high mortality rate. In a study of 102 patients with cardiac injury, only 10.8% of patients reached hospital alive (1). We describe the computed tomographic (CT) findings in two patients with cardiac injury who required emergency surgery. CASE REPORTS Case 1A 16-year-old man was severely injured in a traffic accident when he collided with a truck while riding on a motorbike. He was immediately transferred to our hospital. Initial clinical assessment showed a decreased level of consciousness and shock. After receiving intravenous fluid replacement and pressure agent, he recovered rapidly.Plain chest radiography showed mild cardiomegaly and dilatation of the azygos vein without any evidence of pneumothorax or widening of the upper mediastinum (Fig. 1A). CT demonstrated a low-density area on sIices of the inferior border of the heart and just above the diaphragm (Fig. 1B and C). A low-density area on three contiguous slices indicated pericardial effusion. An echocardiogram confirmed a small amount ofpericardial effusion.Subsequent pericardiocentesis failed to aspirate blood. Immediately after pericardiocentesis, cardiac arrest suddenly occurred. Emergency thoracotomy was performed. There was massive pericardial effusion. The cardiac surgeon found a tear in the right atrium, right ventricle, and left ventricle. The rupture in the right atrium was the largest and was considered to be the main cause of pericardial effusion. The tears were repaired surgically. Although aggressive treatment was continued in the intensive care unit, the patient died 5 days after the surgery, owing to disseminated intravascular coagulation and multiple organ failure. Case 2A 38-year-old man was stabbed in the chest and abdomen with a 27-cm-long knife in a street fight. He was alert upon admission, although his systolic blood pressure was approximately 70 mmHg. His blood pressure returned to normal after intravenous fluid replacement.Plain chest radiography detected a mass shadow in the shape of a teardrop in the left lower lung field, suggesting a penetrating injury of the pulmonary parenchyma. The overall radiolucency of the left lung was decreased, suggesting the presence of a large amount of pleural effusion. The contour • Pericardial Effusion in Cardiac TraumaEmergency Radiology °

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“…Para la valoració n del estudio de la supervivencia total y la supervivencia dependiendo de si el traumatismo torá cico era abierto o cerrado se seleccionaron 21 artículos en los que se analizaban ambas variables (trauma abierto o cerrado) (tabla 1). Se seleccionaron los artículos en los que se analizaba claramente que las heridas cardiacas son penetrantes (12 artículos) 20,27,29,31,[33][34][35][36][37][38][39][40] (tabla 2). Se calculó la supervivencia total, supervivencia segú n el mecanismo principal de la lesió n (apuñ alamiento o herida de bala), segú n el nú mero de lesiones (ú nicas o mú ltiples), así como la presencia o no de signos de vida (SDV) a la llegada: respuesta pupilar, ventilació n espontá nea, pulso carotídeo, presió n arterial, movimiento de extremidades y/o actividad elé ctrica en el monitor.…”

Section: Materials Y Me´todosunclassified

Toracotomía de urgencia. Indicaciones, técnica quirúrgica y resultados

Hernández-Estefanı́a

2011

Cirugía Española

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Cardiac Evaluation following Heart Injury

Cited by 81 publications

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Sterile Pericarditis Leading To Cardiac Temponade from Intrapericardial Foreign Body 3 Months Following Gunshot Injury to Chest: Syndrome of Acute Intermittent Pericarditis

Sterile Pericarditis Leading To Cardiac Temponade from Intrapericardial Foreign Body 3 Months Following Gunshot Injury to Chest: Syndrome of Acute Intermittent Pericarditis

Significance of incidental pericardial effusion on computed tomography in cardiac trauma: A report of two cases

Toracotomía de urgencia. Indicaciones, técnica quirúrgica y resultados

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