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Related Experiment Videos

Intrapericardial trauma: surgical experience.

R Baillot1, L Dontigny, A Verdant

  • 1Department of Cardiovascular and Thoracic Surgery, Hôpital du Sacré-Coeur, Université de Montréal, Québec, Canada.

The Journal of Trauma
|June 1, 1989
PubMed
Summary
This summary is machine-generated.

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Traumatic heart and ascending aorta injuries require prompt surgical intervention. Penetrating injuries have higher survival rates than blunt injuries, emphasizing the need for extracorporeal circulation availability.

Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Thoracic Surgery

Background:

  • Traumatic cardiac and ascending aorta lesions are critical surgical emergencies.
  • This study reviews surgical outcomes for these injuries over a 12-year period.

Purpose of the Study:

  • To analyze the outcomes of surgical management for traumatic heart and ascending aorta injuries.
  • To compare the results of penetrating versus blunt traumatic lesions.
  • To evaluate the role of extracorporeal circulation in managing these complex injuries.

Main Methods:

  • Retrospective review of 19 patients operated on for traumatic heart or ascending aorta lesions between 1975 and 1987.
  • Classification of lesions into penetrating (Group I) and blunt (Group II) trauma.

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  • Analysis of patient demographics, injury mechanisms, clinical presentation, surgical procedures, and outcomes.

    • Main Results:

    • Overall mortality was 26.3% (5/19).
    • Penetrating injuries (Group I) had a lower mortality rate (8.3%, 1/12) compared to blunt injuries (43%, 3/7).
    • Blunt injuries, particularly ventricular ruptures, were associated with higher mortality and often required extracorporeal circulation.

    Conclusions:

    • Penetrating cardiac and ascending aorta injuries have a relatively high survival rate with prompt surgical treatment.
    • Blunt traumatic cardiac and ascending aorta injuries remain highly lethal, often due to ventricular rupture.
    • Extracorporeal circulation is essential for managing complex blunt traumatic cardiac and ascending aorta injuries.