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Summary
Surgical repair of heart and pericardium injuries in 32 patients over 14 years showed excellent outcomes. Most patients regained full work capacity, highlighting the effectiveness of timely surgical intervention for traumatic cardiac injuries.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Thoracic Surgery
Background:
- Traumatic injuries to the heart and pericardium pose significant clinical challenges.
- Prompt surgical intervention is crucial for improving survival rates in cardiac trauma.
- Understanding long-term outcomes is essential for optimizing patient management.
Observation:
- A total of 32 patients underwent operations for heart and pericardium injuries over 14 years.
- Seven patients sustained pericardial injuries, and seven patients died post-operatively.
- Fatal cases were predominantly those arriving within 30 minutes of injury.
Findings:
- Late results were assessed in 22 patients with follow-up periods ranging from 12 months to 14 years.
- Excellent or good outcomes were achieved in 20 patients (90.9%).
- Satisfactory results were noted in 2 patients, with no poor outcomes reported.
Implications:
- Surgical management of heart and pericardium injuries can lead to favorable long-term functional recovery.
- Restoration of work capacity was observed in 21 out of 22 evaluated patients.
- Early surgical intervention in cardiac trauma is associated with improved patient survival and functional outcomes.