Struck by Cupid's arrow: penetrating chest trauma
Vivek Tewarson1, Bhupendra Kumar1, Mohammad Zeeshan Hakim1
1Department of Cardiovascular and Thoracic Surgery, King George's Medical University, Shahmina Road, Lucknow, -226003 India.
None:
Penetrating cardiac injuries are among the leading causes of immediate or early mortality following trauma, consequent to haemorrhage and acute trauma coagulopathy. A 50-year-old male presented 6 h following injury from structural collapse with stable vitals. He was impaled by an iron bar passing through his right hilum, entering the left atrium near the right superior pulmonary vein, and exiting through the right ventricle. Surgical removal of the rod was accomplished without cardiopulmonary bypass and minimal blood loss.
Related Concept Videos
Flail Chest-I
Flail chest is a severe and potentially life-threatening condition characterized by the fracture of three or more adjacent ribs in multiple places. It is most commonly caused by direct impacts and trauma, such as motor vehicle accidents or injuries from a steering wheel impact. It can also occur due to falls in elderly individuals with osteoporosis, or assaults involving sharp objects.
Pathophysiology
The pathophysiology of flail chest is complex, involving fractures of...
Flail Chest-II
Assessment:
1. Clinical Evaluation:
History:
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
Pneumothorax-II
Clinical Manifestations:
Pneumothorax-I
Pneumothorax can be even further classified as spontaneous, traumatic, and tension pneumothorax.
Aneurysm II: Clinical Manifestations and Diagnostic Studies


