Factors Affecting Prognosis with Penetrating Wounds of the Heart

Tyburski, James G.; Astra, Louis I.; Wilson, Robert F.; Dente, Christopher J.; Steffes, Christopher P.

doi:10.1097/00005373-200004000-00002

Cited by 148 publications

(119 citation statements)

References 5 publications

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“…In Turkey, just 3.5% of patients are still alive on arrival (6). Mortality, which varies within a range of 3%-94%, depends on the severity of injury, general health of the patient, and whether the patient has additional organ injuries (7)(8)(9)(10).…”

Section: Discussionmentioning

confidence: 99%

A pilot experimental study of a catheter to facilitate treatment for penetrating cardiac injury

Tokur¹,

Ergin²,

Kürkçüoğlu³

et al. 2014

Turk J Med Sci

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Penetrating heart injuries result in high mortality. We designed a new catheter to facilitate the treatment of penetrating cardiac injuries and provide more effective initial bleeding control and fluid replacement. Materials and methods:The cardiac injury model was applied to 8 female 1-year-old Sus domesticus pigs. Subjects were grouped according to whether a Foley catheter or a newly designed catheter was placed into the heart through cardiac lacerations. Changes in systolic blood pressures, mortality, and problems encountered during surgery and other intraoperative findings were recorded.Results: There were higher mean blood pressure measurements in the newly designed catheter group during stages IV to VII. All subjects had tamponade and cardiac activity after completion of the repair of all lacerations in the catheter group, whereas in the other group only one subject did. Intraoperative direct fluid infusion to the heart through the catheters in the diastole was performed in all subjects of both groups. However, regurgitation from the cardiac cavity in the systole was seen only in the Foley catheter group. All of the intraoperative complications were seen in the same group. Conclusion:The newly designed catheter can provide effective initial bleeding control, better initial vital sign stabilization, and fewer intraoperative problems during primary repair of cardiac lacerations.

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Section: Discussionmentioning

confidence: 99%

A pilot experimental study of a catheter to facilitate treatment for penetrating cardiac injury

Tokur¹,

Ergin²,

Kürkçüoğlu³

et al. 2014

Turk J Med Sci

View full text Add to dashboard Cite

show abstract

“…Mortality rates of patients with coronary artery injuries surviving to care have improved since the introduction of CABG with cardiopulmonary bypass [9][10][11]. Recently, OPCAB has been applied to this injury with considerable success [3,[5][6][7][8] As demonstrated by these two reported cases, the details of the clinical presentation will usually determine the surgical approach in patients with salvageable cardiac injury [12]. In addition, ultrasonographic (FAST) examination has proven to be quite reliable in assessing intrathoracic or intraperitoneal injuries following penetrating anterior chest trauma [13].…”

Section: Discussionmentioning

confidence: 99%

Management of Traumatic Coronary Artery Injuries: Advantages of Off-Pump Coronary Artery Bypass

et al. 2009

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Coronary artery injuries are rare but highly lethal. Debate exists as to the best treatment for this complex set of injuries, with historical treatment favoring arterial ligation. Although conventional coronary artery bypass grafting using cardiopulmonary bypass has been used somewhat successfully, enthusiasm for off-pump CABG (OPCAB) has grown more recently. We report two unique cases of left anterior descending coronary arterial injuries managed successfully with OPCAB.

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“…1 However, the mortality rate is extremely high for patients who suffer CPA secondary to even a cardiac stab wound before arriving at a hospital. 1,2 Among these patients, those who suffer CPA as a result of cardiac tamponade are sometimes successfully resuscitated by pericardial drainage or pericardiostomy in an ER. 1,3,4 Following resuscitation in the ER, most of them undergo a repair of cardiac injury in an OR.…”

Section: Discussionmentioning

confidence: 99%

Out-of-Hospital Cardiopulmonary Arrest Due to Penetrating Cardiac Injury Treated by Percutaneous Cardiopulmonary Support in the Emergency Room: Report of a Case

et al. 2007

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Penetrating cardiac injury tends to generally be repaired without cardiopulmonary bypass in the operating room. We herein report the case of penetrating cardiac injury repaired using percutaneous cardiopulmonary support in an emergency room. A 57-year-old man attempted suicide by stabbing himself in the left anterior chest with a knife. Although the patient suffered cardiopulmonary arrest for 7 min in the ambulance, spontaneous circulation was restored following pericardiotomy through emergency left thoracotomy in the emergency room. To prevent coronary artery injury and control the massive bleeding, percutaneous cardiopulmonary support was instituted without systemic heparinization and the cardiac injury was repaired in the emergency room. The patient was then transferred to another hospital on day 46 for further rehabilitation. Percutaneous cardiopulmonary support might be helpful for treating critical patients in an emergency room, even in the case of trauma patients.

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Factors Affecting Prognosis with Penetrating Wounds of the Heart

Cited by 148 publications

References 5 publications

A pilot experimental study of a catheter to facilitate treatment for penetrating cardiac injury

A pilot experimental study of a catheter to facilitate treatment for penetrating cardiac injury

Management of Traumatic Coronary Artery Injuries: Advantages of Off-Pump Coronary Artery Bypass

Out-of-Hospital Cardiopulmonary Arrest Due to Penetrating Cardiac Injury Treated by Percutaneous Cardiopulmonary Support in the Emergency Room: Report of a Case

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