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[Post-traumatic heart aneurysms].
Vestnik Khirurgii Imeni I. I. Grekova
|May 1, 1983
Summary
Posttraumatic heart aneurysms can arise from blunt chest trauma or stab wounds. Surgical resection offers a satisfactory outcome for these rare cardiac injuries.
Area of Science:
- Cardiology
- Trauma Surgery
Background:
- Posttraumatic aneurysms of the heart are rare but serious complications.
- Understanding their etiology, pathogenesis, and clinical presentation is crucial for effective management.
Observation:
- Analysis of 56 literature cases and 2 personal observations of posttraumatic heart aneurysms.
- One case involved a blunt chest trauma leading to coronary-left-ventricular fistulas.
- Another case resulted from a stab wound to the heart.
Findings:
- Etiology, pathogenesis, clinical picture, diagnosis, and treatment were described.
- Successful surgical resection of a posttraumatic aneurysm with coronary-left-ventricular fistulas was performed.
- Conservative management was chosen for a post-stab wound cardiac aneurysm.
Implications:
- Highlights the importance of considering cardiac aneurysm in patients with chest trauma.
- Demonstrates the potential for successful surgical intervention in specific cases.
- Emphasizes the need for individualized treatment strategies based on aneurysm characteristics and patient condition.