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Penetrating Heart Injury Repaired with Peripheral Cannulation: Case Report
Cengiz Ovali1, Alper Selim Kocaoglu1, Gürkan Demirdizen1
1Department of Cardiovascular Surgery, Eskisehir Osmangazi University Faculty of Medicine, Eskisehir, Turkey.
Insights
This case study details the successful surgical treatment of a gunshot wound to the heart. The patient
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- Heart injuries, often fatal, result from penetrating or blunt trauma.
- High mortality rates persist despite advanced medical care due to factors like hemorrhage and cardiac arrest.
- Timely intervention is critical for survival in cases of severe cardiac trauma.
Observation:
- A 46-year-old male sustained a gunshot wound impacting the left atrium and left ventricle posterior wall.
- The patient presented with critical cardiac injury requiring immediate surgical management.
- The injury necessitated advanced surgical techniques for repair.
Findings:
- Successful surgical repair was achieved using median sternotomy and peripheral cannulation.
- The patient's left atrium and left ventricle posterior wall were effectively treated.
- This approach facilitated cardiopulmonary support during the complex repair.
Implications:
- Demonstrates the efficacy of median sternotomy and peripheral cannulation in managing complex gunshot-induced cardiac injuries.
- Highlights the importance of prompt surgical intervention in potentially lethal heart trauma.
- Offers a viable treatment strategy for similar severe cardiac penetrating injuries.
Abstract:
Heart injuries usually occur due to penetrating or blunt traumas. High mortality rates are seen in heart injuries, owing to firearms and cutting/piercing tools. Factors such as the degree of injury, its localization, and the length of time to reach the hospital influence mortality rates. Despite the increase in imaging facilities and improvements in hospital transportation in today's conditions, high mortality rates are still observed, owing to causes such as sudden blood loss, cardiac arrest, or cardiac tamponade. The present study aimed to present the successful treatment of a 46-year-old male patient with injuries to the left atrium and posterior wall of the left ventricle due to a gunshot wound using the approach of median sternotomy and peripheral cannulation.
