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[Cardiac penetration wounds: three years Adana Numune Hospital experience]
Serdar M Demirkiran1, Gürsel A Tekin
1Adana Numune Hastanesi Göğüs Cerrahisi Uzmani, Adana, Turkey. msdemirkiran@yahoo.com
Insights
Rapid diagnosis and surgical intervention significantly improve survival rates for patients with cardiac penetration injuries. Early detection and prompt treatment are crucial for managing these critical chest trauma cases.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- Cardiac penetration wounds present a critical medical emergency with a high mortality rate.
- Timely diagnosis and surgical intervention are essential for improving patient outcomes.
Purpose of the Study:
- To evaluate the characteristics and outcomes of cardiac penetration injuries.
- To underscore the importance of rapid diagnostic and surgical management.
Main Methods:
- A retrospective analysis of 196 thoracic penetration cases admitted between May 1999 and May 2002.
- Detailed evaluation of 12 cases (6.1%) diagnosed with cardiac penetration.
Main Results:
- All 12 cardiac penetration cases involved male patients.
- The majority (11) resulted from stab wounds, with one from a gunshot wound.
- Surgical interventions included left anterolateral thoracotomy (9), right anterolateral thoracotomy (2), and median sternotomy (1); two patients died.
Conclusions:
- Prompt diagnosis and surgical intervention are key to increasing survival chances in cardiac penetration injuries.
- Effective management strategies for penetrating cardiac trauma are vital.
Background:
Cardiac penetration wounds have high mortality which need a rapid diagnosis and surgical intervention.
Methods:
Between May 1999 to May 2002, 196 thoracic penetration cases who were admitted to emergency department were examined and in 12 (6.1%) of them cardiac penetration was diagnosed. In this retrospective study, the cardiac penetration cases were evaluated.
Results:
All the cases were male, 11 of them were injured by stab wounds, and one case by a gunshot wound. We performed left anterolateral thoracotomy in nine of the cases, right anterolateral thoracotomy in two cases and a median sternotomy in one case. Two of the cases died.
Conclusion:
The survival chance of the cases can be increased with rapid diagnosis and surgical intervention.