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Complications in Patients with Cardiac Penetrating Trauma
Mojtaba Ahmadinejad1, Izadmehr Ahmadinejad2, Leila Haji Maghsoudi1
1Department of Surgery, School of Medicine, Shahid Madani Hospital, Alborz University of Medical Sciences, Karaj, Iran.
Insights
Penetrating cardiac trauma, often caused by knife wounds, predominantly affects young men and can lead to serious complications like cardiac tamponade. This study highlights the common injury patterns and outcomes in such critical cases.
Area of Science:
- Trauma Surgery
- Cardiovascular Surgery
- Emergency Medicine
Background:
- Penetrating cardiac trauma is a critical medical emergency, disproportionately affecting young individuals.
- It poses significant surgical challenges and carries a risk of mortality.
- Understanding injury patterns and complications is vital for effective management.
Purpose of the Study:
- To evaluate the spectrum of complications associated with penetrating heart trauma.
- To identify demographic and etiological factors in patients with cardiac penetrating injuries.
- To analyze the most frequent injury sites and resulting complications.
Main Methods:
- A retrospective descriptive study was conducted.
- Data from 44 patients with penetrating cardiac trauma (2016-2019) were analyzed.
- Statistical evaluation using SPSS v18 identified key characteristics and outcomes.
Main Results:
- The study included 44 patients, with a mean age of 25 years; 73.3% were male.
- Knife stab wounds accounted for 93.3% of trauma cases.
- Cardiac tamponade (73.3%) and pneumothorax (20%) were common complications, with the right ventricle being the most frequent injury site (46.7%).
Conclusions:
- Penetrating heart trauma primarily affects young males, with stab wounds being the leading cause.
- The right ventricle is the most commonly injured site, and cardiac tamponade is the most frequent complication.
- A low mortality rate of 3.4% was observed in this cohort.
Background:
Cardiac penetrating trauma is a medical emergency that mostly affects young people. Based on the type of injury and associated complications, it can present as a surgical challenge and can lead to mortality.
Objective:
The aim of this study is to evaluate the complications of penetrating heart trauma among patients referred to Shahid Madani Hospital.
Methods:
In this retrospective descriptive study, the data of penetrating cardiac trauma patients referred to Shahid Madani hospital, Karaj, Tehran, from 2016-2019, were investigated. Information, including age, sex, cause of trauma, traumatized area and complications, was extracted and recorded in a data collection form. The data were evaluated statistically using SPSS v18.
Results:
A total of 44 patients were included in the study, where the mean age of the patients was 25 years. 73.3% of these patients were men and 26.7% were women. Knife stab wounds were the most prevalent cause of the trauma, present in 93.3% of patients. 73.3% of the patients had cardiac tamponade and 20% had a pneumothorax. The right ventricle was the most common site of the injury in 46.7% of the patients. A mortality rate of 3.4% was reported in this study.
Conclusion:
The results of this study showed that the highest penetrating heart rate trauma occurred among young people, and the most common cause of the trauma was a knife stab. The most common area of the injury was the right ventricular, and cardiac tamponade was the most common complication.
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