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Suspicion of penetrating cardiac injury: Curing or caring?

Nicolas Imbert1, Vania Tacher2, Roman Mounier1

  • 1Surgical Intensive Care Unit, Trauma Center, Department of Anaesthesiology and Critical Care Medicine, Paris-Est Creteil University and Assistance-Publique Hopitaux de Paris, Henri Mondor University Hospital, Creteil, France.

Annals of Cardiac Anaesthesia
|July 21, 2020
PubMed

Insights

Diagnosing penetrating cardiac injury in stable patients without tamponade or effusion is difficult. Multidisciplinary teams are crucial for managing these complex trauma cases effectively.

Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Penetrating cardiac injury (PCI) diagnosis is challenging in hemodynamically stable patients.
  • Standard diagnostic methods like transthoracic echocardiography may not reveal tamponade or effusion.
  • Lack of universally applicable guidelines complicates management.

Observation:

  • Case report detailing diagnosis and treatment strategies for PCI.
  • Focus on a scenario with subtle or absent echocardiographic findings.
  • Highlights the complexities encountered in trauma management.

Findings:

  • Emphasizes the difficulty in identifying PCI without clear tamponade or effusion.
  • Discusses the importance of a structured diagnostic algorithm.
  • Underscores the need for tailored treatment strategies.

Implications:

  • Suggests the necessity for advanced diagnostic approaches beyond standard echocardiography.
  • Recommends multidisciplinary team involvement for optimal patient outcomes.
  • Highlights the critical role of experienced trauma teams in managing PCI pitfalls.

Keywords:
Cardiac traumachest computed tomographyfocused assessment with sonography for traumapenetrating cardiac injury

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