Related Experiment Video

Updated: Aug 15, 2025

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement
08:50

Technique and Patient Selection Criteria of Right Anterior Mini-Thoracotomy for Minimal Access Aortic Valve Replacement

Published on: March 26, 2018

11.8K

Thoracic Penetrating Wounds with Cardiac Injury: A Single-Center Experience

Gheorghe Rojnoveanu, Radu Gurghis, Ion Gagauz

    Chirurgia (Bucharest, Romania : 1990)
    |December 30, 2022
    PubMed

    Insights

    Penetrating cardiac injury management has evolved, but remains a significant challenge. Successful cardiac suture is key to survival, with outcomes tied to injury severity and blood loss.

    Area of Science:

    • Emergency Medicine
    • Trauma Surgery
    • Cardiovascular Surgery

    Background:

    • Penetrating cardiac injury presents ongoing management challenges despite advancements.
    • Cardiac trauma remains a critical medical issue requiring effective treatment protocols.

    Purpose of the Study:

    • To analyze management strategies and outcomes for patients with penetrating cardiac injuries.
    • To identify factors influencing survival and mortality in cardiac trauma cases.

    Main Methods:

    • Retrospective case series of 41 patients with precordial wounds (2005-2020).
    • Inclusion of preoperative diagnostics (ECG, X-ray, FAST, etc.) and surgical approaches.
    • Analysis of injury types, associated intrathoracic lesions, and patient outcomes.

    Main Results:

    • 87.8% of patients were hemodynamically unstable; 52.8% required immediate surgery.
    • Right ventricle was the most frequently injured chamber; 70.7% had additional intrathoracic injuries.
    • Mortality rate was 17.1%, with survival linked to successful cardiac repair.

    Conclusions:

    • Successful cardiac suture significantly improves survival rates (82.9%).
    • Lethality correlates with cardiac injury severity, blood loss volume, and specific chamber damage (right vs. left).

    Keywords:
    cardiacinjurycardiacsuturehemodynamicstabilitysurgicaltreatmentthoracicwound

    More Related Videos

    A Chronic Cardiac Ischemia Model in Swine Using an Ameroid Constrictor08:22

    A Chronic Cardiac Ischemia Model in Swine Using an Ameroid Constrictor

    Published on: October 9, 2017

    10.7K
    Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death09:54

    Lung Rapid Recovery Procurement Combined with Abdominal Normothermic Regional Perfusion in Controlled Donation after Circulatory Death

    Published on: August 15, 2022

    1.9K

    Related Concept Videos

    Flail Chest-II01:26

    Flail Chest-II

    Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
    Assessment:
    1. Clinical Evaluation:
    History:
    221
    Esophageal Perforation-II: Clinical Manifestations and Management01:28

    Esophageal Perforation-II: Clinical Manifestations and Management

    Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
    Clinical Manifestations:
    126
    Thoracic Aorta01:15

    Thoracic Aorta

    The thoracic section of the aorta begins at the T5 vertebra and extends to the T12 level at the diaphragm, initially progressing through the mediastinum to the left of the spinal column. Throughout its course in the thoracic segment, the thoracic aorta emits various offshoots known collectively as visceral and parietal branches. The branches that predominantly supply blood to visceral organs are termed visceral branches and include bronchial, pericardial, esophageal, and mediastinal arteries,...
    643
    Pneumothorax-II01:27

    Pneumothorax-II

    Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
    Clinical Manifestations:
    260
    Esophageal Perforation-I: Introduction01:22

    Esophageal Perforation-I: Introduction

    Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
    The location of esophageal perforation can vary, occurring anywhere along the esophagus....
    152