Transfixing heart injury by stab wound: Case report

Struck, Gabriela Tulio; Nabhen, Jacqueline Justino; Soek, Helder Augusto; Moretti, Rafael; Yamaguto, Guilherme Eiji; Moriya, Vitor Lyu; Tanamati, Lucas Wisnieski; Silva, Leonardo Fleury da; Zhen, Felipe; Aguiar, Alan Junior de; Evangelista, Matheus Schimidt; Urdiales, Akihito Inca Atahualpa

doi:10.1016/j.tcr.2021.100518

Cited by 3 publications

(1 citation statement)

References 10 publications

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“…This definitive repair can be realized with continuous or separate stitches, with 3-0 diameter polypropylene sutures, using pledgets, preferably in ventricular wounds. The surgeon should cover as much myocardial tissue as possible, as superficial repairs can cause more injuries to the fragile tissue around the wound ( 16 ).…”

Section: Discussionmentioning

confidence: 99%

Successful management of a combined cardiopulmonary penetrating injury: a case report

Zhang¹,

Wang²

2022

Ann Transl Med

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Background Penetrating thoracic injury is a type of critical illness with a high mortality rate, which often involves the heart, large blood vessels, and lungs. Penetrating cardiac injury is a very serious condition, and most patients die rapidly within minutes due to hemorrhagic shock and acute cardiac tamponade. Due to the critical condition and rapid development of this type of injury, most patients die before reaching the hospital. It is rare in clinical practice and difficult to treat. Case Description Our hospital recently admitted a case of penetrating cardiac injury. In this case, a 50-year-old male was admitted to the hospital following “ a fall from a height [that] caused steel bar[s] to penetrate the chest cavity for 7 hours before he arrived at the hospital ”. The patient fell from a height of 3meters at a construction site, which caused 2 steel bars to penetrate his chest. The patient presented with symptoms such as chest pain, dyspnea, and apathy. Chest computed tomography suggested combined cardiopulmonary penetrating injury. Echocardiography suggested penetrating cardiac injury, and moderate pericardial effusion. After the patient was sent to the Emergency Department of our hospital, the relevant laboratory examinations and an emergency surgery were performed. The rescue team consisting of cardiac surgery, thoracic surgery, anesthesiology, emergency department, and imaging department specified the treatment plan. Under general anesthesia, cardiopulmonary bypass was performed via right femoral arteriovenous cannulation. The steel bars were removed, the left atrial posterior wall and ventricular septal perforation were repaired, and the great cardiac vein was sutured. Coronary artery bypass surgery was performed at the same time, and the anterolateral lung tissue of the left lower lobe was resected. Postoperative treatment was given to prevent against infection and improve cardiopulmonary function. The patient recovered well, and he was discharged from the hospital. The results of the follow-up 1 year after surgery were normal. Conclusions Timely treatment and a reasonable operation mode is essential in treating this kind of trauma. A joint diagnosis and treatment by a multidisciplinary team can enable a comprehensive assessment of the condition to be made quickly and an optimal treatment plan to be formulated.

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Section: Discussionmentioning

confidence: 99%

Successful management of a combined cardiopulmonary penetrating injury: a case report

Zhang¹,

Wang²

2022

Ann Transl Med

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Determining the manner of death in victims in drug-induced psychosis: a case of an atypical head stab wound

Handlos,

Klabal,

Vojtek

et al. 2024

Forensic Sci Med Pathol

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This case report presents a rare case of an atypical head stab wound suffered by a drug addict and inflicted with a screwdriver during drug-induced psychosis. It describes the diagnostic and treatment procedures in the hospital and the findings of the subsequent autopsy. It also analyzes the review of the interpretation of the CT scans made upon admission and the subsequent treatment by an independent medical review panel, which revealed signs of medical mismanagement. Therefore, it also discusses the legal consequences that the case may have involved for the attending physicians in addition to the consequences for the suspected perpetrator. The report raises many issues encountered in the case in terms of the clinical treatment and forensic determination of the manner of death in cases of injuries caused by sharp instruments and highlights the importance of comprehensive evaluation of the circumstantial evidence together with the clinical or autopsy findings, since such evidence may sometimes be overlooked in clinical practice.

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Self-inflicted Stabbings as Nonfatal Suicide Attempts: A Systematic Review and Case Series

Oden

Weinschreider

Linzie

2023

Journal of the Academy of Consultation-Liaison Psychiatry

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Transfixing heart injury by stab wound: Case report

Cited by 3 publications

References 10 publications

Successful management of a combined cardiopulmonary penetrating injury: a case report

Successful management of a combined cardiopulmonary penetrating injury: a case report

Determining the manner of death in victims in drug-induced psychosis: a case of an atypical head stab wound

Self-inflicted Stabbings as Nonfatal Suicide Attempts: A Systematic Review and Case Series

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