Hostname: page-component-848d4c4894-4rdrl Total loading time: 0 Render date: 2024-06-15T13:56:07.581Z Has data issue: false hasContentIssue false

Penetrating Heart Injury Repaired with Peripheral Cannulation: Case Report

Published online by Cambridge University Press:  21 September 2021

Cengiz Ovali*
Affiliation:
Department of Cardiovascular Surgery, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey
Alper Selim Kocaoglu
Affiliation:
Department of Cardiovascular Surgery, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey
Gürkan Demirdizen
Affiliation:
Department of Cardiovascular Surgery, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey
Yuksel Aydar
Affiliation:
Department of Anatomy, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey
*
Correspondence: Assoc. Prof. Dr. Cengiz Ovalı Department of Cardiovascular Surgery Eskisehir Osmangazi University Faculty of Medicine Meselik Campus, 26040, Odunpazarı, Eskisehir, Turkey E-mail: drcengizovali@gmail.com

Abstract

Heart injuries usually occur due to penetrating or blunt traumas. High mortality rates are seen in heart injuries, owing to firearms and cutting/piercing tools. Factors such as the degree of injury, its localization, and the length of time to reach the hospital influence mortality rates. Despite the increase in imaging facilities and improvements in hospital transportation in today’s conditions, high mortality rates are still observed, owing to causes such as sudden blood loss, cardiac arrest, or cardiac tamponade. The present study aimed to present the successful treatment of a 46-year-old male patient with injuries to the left atrium and posterior wall of the left ventricle due to a gunshot wound using the approach of median sternotomy and peripheral cannulation.

Type
Case Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the World Association for Disaster and Emergency Medicine

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Campbell, NC, Thomson, SR, Muckart, DJ, Meumann, CM, Van Middelkoop, I, Botha, JB. Review of 1198 cases of penetrating cardiac trauma. Br J Surg. 1997;84(12):17371740.Google ScholarPubMed
Karasu, S, Tokat, AO, Uzun, HA, et al. Penetran kalp yaralanmaları. Ankara Üniversi - Tesi Tıp Faskültesi Mecmuası. 2010;63:115118.Google Scholar
Carr, JA, Buterakos, R, Bowling, WM, Janson, L, Kralovich, KA, Copeland, C. Long- term functional and echocardiographic assessment after penetrating cardiac injury: 5-year follow-up results. J Trauma. 2011;70(3):701704.Google ScholarPubMed
Buckman, RF, Badellino, MM, Mauro, LH, et al. Penetrating cardiac wounds: prospective study of factors influencing initial resuscitation. J Trauma. 1994;34(5):717725.CrossRefGoogle Scholar
Hardikar, AA, Thakur, SS, Karmarkar, PS, Ambike, VS, Kanetkar, AV, Golhar, KB. Penetrating cardiac injury due to ballpoint pen. Asian Cardiovasc Thorac Ann. 1999;7:158160.CrossRefGoogle Scholar
Tyburski, JG, Astra, L, Wilson, RF, et al. Factors affecting prognosis with penetrating wounds of the heart. J Trauma. 2000;48(4):587591.CrossRefGoogle ScholarPubMed
Jebara, VA, Scede, B. Penetrating wounds to the heart: a wartime experience. Ann Thorac Surg. 1989;47(2):250254.CrossRefGoogle Scholar
Attar, S, Suter, CM, Hankins, JR, Sequeira, A, McLaughlin, JS. Penetrating cardiac injuries. Ann Thorac Surg. 1991;51(5):711715.CrossRefGoogle ScholarPubMed
Asension, AA, Berne, JD, Demetriades, D, et al. One hundred five penetrating cardiac injuries: a 2-year prospective evaluation. J Trauma. 1998;44(6):10781083.Google Scholar
Peter, RM, Hugh, H, Christoph, K, et al. Penetrating cardiac injuries: a population-based study. J Trauma. 1998;45(2):366367.Google Scholar
Topaloğlu, S, Aras, D, Çağlı, K, et al. Penetrating trauma to the mitral valve and ventricular septum. Tex Heart Inst J. 2006;33(3):392395.Google Scholar
Johnson, SB, Nielson, JL, Sako, EY. Penetrating intrapericardial wounds: clinical experience with a surgical protocol. Ann Thorac Surgery. 1995;60(1):117121.CrossRefGoogle ScholarPubMed
Degiannis, E, Bowky, DM, Westaby, S. Penetrating cardiac injury. Ann R Coll Surg Eng I. 2005;87(1):6163.Google ScholarPubMed
Mayrose, J, Jehle, DV, Mascati, R, Lerner, E, Brooke, BA, Abrams, BJ. Comparison of staples versus sutures in the repair of penetrating cardiac wounds. J Trauma. 1999;46(3):441443.CrossRefGoogle ScholarPubMed
Spencer, FC. “Acquired Heart Disease.” In: Schwarttz, Shires, Spencer. Principles of Surgery. New York USA: Mc Graw Hill Information Services Company; 1989:880-881.Google Scholar
Mitchell, ME, Muakkassa, FF, Poole, GV, Rhodes, RS, Griswold, JA. Surgical approach of choice for penetrating cardiac wounds. J Trauma. 1993;34(1):1720.CrossRefGoogle ScholarPubMed
Mittal, V, McAleese, P, Young, S, Cohen, M. Penetrating cardiac injuries. Am Surg. 1999;65(5):444448.Google ScholarPubMed