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Surviving shot through the heart: Management in two cases.
JPMA. the Journal of the Pakistan Medical Association
|April 3, 2015
Summary
Gunshot penetrating cardiac injuries are challenging. This study details managing two cases of traversing bullet heart injuries, one requiring cardiopulmonary bypass for ventricular septal defect repair and the other managed without it.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Ballistics Trauma
Background:
- Penetrating cardiac injuries from gunshots are often fatal and complex to manage, even in well-equipped facilities.
- Such injuries can lead to ventricular septal defects (VSD) or cardiac tamponade, influenced by bullet trajectory and velocity.
- Patient stability dictates the immediate management strategy: diagnostic imaging for stable patients versus urgent surgery for unstable ones.