Un cas de tamponnade cardiaque par perforation du ventricule droit au décours immédiat d'une pose de TIPS

Asehnoune, Karim; Azoulay, Daniel; Andreani, P.; Gillon, Marina; Naili, Salima; Minville, Vincent; Benhamou, Dan

doi:10.1016/j.annfar.2006.03.041

Cited by 2 publications

(1 citation statement)

References 7 publications

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“…In the civilian setting, penetrating cardiac injuries are usually seen as a result of gunshot wounds and stab wounds. A subset of cardiac injuries are seen from iatrogenic needles, trocars, and catheters ( 33 - 39 ).…”

Section: Etiologymentioning

confidence: 99%

Penetrating cardiac injury: a narrative review

Hromalik¹,

Wall²,

Mattox³

et al. 2023

Mediastinum

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Background and Objective Penetrating cardiac trauma is rare but can cause life-threatening complications. Survival is dependent on prompt diagnosis and treatment. Given the low incidence and life-threatening implications, it is difficult to study in large prospective studies. The current literature regarding penetrating cardiac trauma comes primarily from large, experienced trauma centers and military sources. Understanding the history, current literature and even expert opinion can help with effectively treating injury promptly to maximize survival after penetrating cardiac trauma. We aimed to review the etiology and history of penetrating cardiac trauma. We review the prehospital treatment and initial diagnostic modalities. We review the incisional approaches to treatment including anterolateral thoracotomy, median sternotomy and subxiphoid window. The repair of atrial, ventricular and coronary injuries are also addressed in our review. The purpose of this paper is to perform a narrative review to better describe the history, etiology, presentation, and management of penetrating cardiac trauma. Methods A narrative review was preformed synthesizing literature from MEDLINE and bibliographic review from identified publications. Studies were included based on relevance without exclusion to time of publication or original publication language. Key Content and Findings Sonographic identification of pericardial fluid can aid in diagnosis of patients too unstable for CT. Anterolateral thoracotomy should be used for emergent repairs and initial stabilization. A median sternotomy can be used for more stable patients with known injuries. Carefully placed mattress sutures can be useful for repair of injuries surrounding coronary vessels to avoid devascularization. Conclusions Penetrating cardiac trauma is life threatening and requires prompt workup and treatment. Trauma algorithms should continue to refine and be clear on which patients should undergo an emergency department (ED) thoracotomy, median sternotomy and further imaging.

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Section: Etiologymentioning

confidence: 99%

Penetrating cardiac injury: a narrative review

Hromalik¹,

Wall²,

Mattox³

et al. 2023

Mediastinum

View full text Add to dashboard Cite

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Transient hemodynamic instability caused by TIPS

Kojecký¹

2023

Vnitř Lék

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Varikózní krvácení do gastrointestinálního traktu jako komplikace portální hypertenze je urgentní život ohrožující stav. Po selhání farmakologické a endoskopické léčby je indikováno zavedení transjugulární intrahepatální portosystémové spojky (TIPS), která může přinést nezanedbatelné komplikace. Raritní komplikací je migrace spojky do srdce s rizikem perforace pravostranných oddílů či poškození trikuspidální chlopně. V některých případech však nemusí způsobovat žádné obtíže. Extrakce je možná perkutánní či chirurgickou cestou. Alternativou u polymorbidních pacientů je ponechání migrovaného stentu v srdci. Volba optimálního postupu vyžaduje mezioborovou spolupráci.

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Un cas de tamponnade cardiaque par perforation du ventricule droit au décours immédiat d'une pose de TIPS

Cited by 2 publications

References 7 publications

Penetrating cardiac injury: a narrative review

Penetrating cardiac injury: a narrative review

Transient hemodynamic instability caused by TIPS

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