Penetrating cardiac injuries: assessment of 21 patients

Dereli, Yüksel; Özdemir, Ramis; Ağrış, Musa; Öncel, Murat; Hosgor, Kemalettin; Ozdis, Ali Suat

doi:10.5505/tjtes.2012.93467

Cited by 4 publications

(9 citation statements)

References 13 publications

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“…There are studies showing significant survival rates in emergent antero-lateral thoracotomy for cardiac injuries admitted to emergency room. [1,13] On the other hand, some authors have reported that thoracotomy for penetrating cardiac injuries should only be performed by experienced and well-equipped teams to achieve favorable results. [6,14] In our study, the patients were transferred to the operating rooms immediately since the ER is located in close proximity to ORs.…”

Section: Discussionmentioning

confidence: 99%

“…There are some studies suggesting median sternotomy in the first place for hemodynamically stable patients admitted to the ER. [1] When sternum saw is available, sternotomy can be managed very fast and effectively yielding great exposure to the heart and great vessels. [1,6,15] Sternotomy results in less pain compared to thoracotomy so pulmonary functions are minimally depressed and patient can be weaned easily.…”

Section: Discussionmentioning

confidence: 99%

“…[1] When sternum saw is available, sternotomy can be managed very fast and effectively yielding great exposure to the heart and great vessels. [1,6,15] Sternotomy results in less pain compared to thoracotomy so pulmonary functions are minimally depressed and patient can be weaned easily. Sternotomy, on the other hand, can be very disadvantageous in cases of descending aortic injuries and esophageal injuries, in these cases, cardiopulmonary by-pass is generally established.…”

Section: Discussionmentioning

confidence: 99%

“…[1,3,4] Patient profile in this group of trauma cases is generally young males. [3,4] In our study, the mean age in Group 1 was 30.1±12.5 and 40.86±17.06 in Group 2, and that is slightly different from the data in the literature.…”

Section: Discussionmentioning

confidence: 99%

“…Only 10.4% of the trauma cases in need of immediate surgical intervention happen to be in the thorax, and 1% of these cases are cardiac injuries. [1] Although cardiac injuries are rare, they are highly fatal injuries compared to the other types. It is really important to transfer these patients to the nearest facility in time, make sure they get immediate diagnosis and proper resuscitation until they are ready to be taken into the operating room for exploration.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Choice of Incision in Penetrating Cardiac Injuries: Which one we must prefer? Thoracotomy or Sternotomy

Besir

Gokalp

Eygi

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Choice of Incision in Penetrating Cardiac Injuries: Which one we must prefer? Thoracotomy or Sternotomy

Besir

Gokalp

Eygi

et al. 2015

Ulus Travma Acil Cerrahi Derg

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Eight-year experiences in penetrating cardiac injury: A multi-center retrospective cohort study

Er¹,

Atılgan²

2020

Journal of Surgery and Medicine

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Ethics Committee Approval: Ethics committee approval was not received due to the retrospective design of the study. All procedures in this study involving human participants were performed in accordance with the 1964 Helsinki Declaration and its later amendments. Etik Kurul Onayı: Etik kurul onayı çalışmanın retrospektif dizaynından dolayı alınmamıştır. İnsan katılımcıların katıldığı çalışmalardaki tüm prosedürler, 1964 Helsinki Deklarasyonu ve daha sonra yapılan değişiklikler uyarınca gerçekleştirilmiştir.

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Outcomes of Penetrating Cardiac Injuries – A Cardiac Surgeon Approach to 22 Cases

Düzgün

İlkeli

2021

Emerg Med Serv

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Aim: Cardiac traumas are of great danger as they have life threatening potential. Although the patient may have normal vital signs at the time of admission the rate of mortality rate has been reported up to 69%. We believe that conducting the initial evaluation and early intervention by a cardiac surgeon may have an impact on decreased mortality. Material and methods: This study has been conducted with 22 patients that have been admitted with cardiac trauma history. The subjects who were operated after applying to emergency service have been enrolled in this retrospective analysis. İndividuals died due to cardiac arrest at admission have been excluded from the study. The subjects with penetrating cardiac injury who have undergone sternotomy or thoracotomy has been included in the analysis. Results: At the time of admission 4 patients has been presented with shock and 2 patients had been administered resuscitation due to cardiac arrest. The gun shot wound cases were 27% (n=6) and of these cases 3 of them were alive while the remaining 3 died. The stab wound cases were 73% (n=16) withh a higher survival rate of 75% (n=4/16). Thoracotomy has been conducted less than sternotomy as the rate was 13.6% (n=3) versus 86.4% (n=19). The overall rate of mortality has been found as 32% (n=7). Conclusıon: According to the results of this study one can say that conducting initial intervention to cardiac trauma patients by a cardiac surgeon reduced the rate of mortality and morbidity.

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Penetrating cardiac injuries: assessment of 21 patients

Cited by 4 publications

References 13 publications

Choice of Incision in Penetrating Cardiac Injuries: Which one we must prefer? Thoracotomy or Sternotomy

Choice of Incision in Penetrating Cardiac Injuries: Which one we must prefer? Thoracotomy or Sternotomy

Eight-year experiences in penetrating cardiac injury: A multi-center retrospective cohort study

Outcomes of Penetrating Cardiac Injuries – A Cardiac Surgeon Approach to 22 Cases

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