Related Experiment Video

Updated: Aug 9, 2026

Implantation of Total Artificial Heart in Congenital Heart Disease
07:27

Implantation of Total Artificial Heart in Congenital Heart Disease

Published on: July 18, 2014

Penetration injury to the heart. Nine consecutive cases at a community hospital

J R Wilder, N Dhar, A Kudchadkar

    JAMA
    |November 7, 1980
    PubMed

    Insights

    Successful surgical intervention for penetrating cardiac injuries is possible even in community hospitals without cardiopulmonary bypass. Early surgical treatment is crucial for patients with suspected heart wounds.

    Area of Science:

    • Cardiovascular Surgery
    • Trauma Surgery
    • Emergency Medicine

    Background:

    • Significant advancements in treating cardiac injuries over 25 years.
    • Penetrating cardiac trauma remains a critical surgical challenge.
    • Limited resources, such as cardiopulmonary bypass, can impact treatment options.

    Purpose of the Study:

    • To evaluate the efficacy of surgical intervention for penetrating cardiac injuries.
    • To demonstrate successful outcomes in a community hospital setting without advanced support.
    • To advocate for early surgical management of suspected cardiac wounds.

    Main Methods:

    • Retrospective review of nine consecutive cases of penetrating heart injuries.
    • Surgical repair performed at a community hospital.
    • No cases required cardiopulmonary bypass support.

    Main Results:

    • All nine patients with penetrating cardiac injuries survived.
    • Successful surgical repair was achieved in all cases.
    • Treatment was effective without cardiopulmonary bypass.

    Conclusions:

    • Prompt surgical intervention is a viable and effective treatment for penetrating cardiac injuries.
    • Successful outcomes can be achieved in resource-limited settings.
    • Early surgery should be considered standard care for patients with suspected penetrating heart trauma.

    More Related Videos

    Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock06:10

    Utilizing Percutaneous Ventricular Assist Devices in Acute Myocardial Infarction Complicated by Cardiogenic Shock

    Published on: June 12, 2021

    Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model07:20

    Delivery of Cardioactive Therapeutics in a Porcine Myocardial Infarction Model

    Published on: February 10, 2023

    Related Concept Videos

    Cardiac Catheterization II: Right Heart Catheterization01:21

    Cardiac Catheterization II: Right Heart Catheterization

    Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
    Endocarditis I: Introduction01:25

    Endocarditis I: Introduction

    Introduction:Endocarditis is the infection of the endocardium, the inner lining of the heart and its valves. When the heart muscle is involved, the condition is termed myocarditis, while an infection of the outer lining is called pericarditis. Infective endocarditis (IE) primarily affects the endocardium, where pathogens adhere to the valves or lining, forming vegetation that can lead to severe complications. Infective endocarditis occurs when microorganisms, usually bacteria from other body...
    Acute Coronary Syndrome III: Diagnostic Studies01:30

    Acute Coronary Syndrome III: Diagnostic Studies

    Diagnosing acute coronary syndrome or ACS begins with a thorough patient history. Notable symptoms include central, crushing chest pain radiating to the left arm, neck, jaw, or back, along with shortness of breath, sweating (diaphoresis), nausea, vomiting, dizziness, and palpitations.It is crucial to note any history of cardiac illnesses and assess risk factors, including age, gender, smoking, hypertension, diabetes, hyperlipidemia, and a sedentary lifestyle.During physical examination, vital...
    Acute Coronary Syndrome IV: Interprofessional Care01:28

    Acute Coronary Syndrome IV: Interprofessional Care

    IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
    Introduction Cardiac Emergencies01:30

    Introduction Cardiac Emergencies

    Cardiac emergencies are critical situations involving the heart that require immediate medical intervention to prevent severe complications or death. These emergencies often arise from underlying heart conditions that impair the heart's ability to function correctly.Types of Cardiac EmergenciesThe most common types of cardiac emergencies include Acute Coronary Syndrome (ACS), myocardial infarction (MI), cardiac arrest, and heart failure.Acute Coronary Syndrome (ACS)Acute Coronary Syndrome (ACS)...
    Cardiopulmonary Resuscitation III: AED Use01:23

    Cardiopulmonary Resuscitation III: AED Use

    Introduction to AEDAn Automated External Defibrillator (AED) is a portable medical device that analyzes the heart's rhythm and, if necessary, delivers an electrical shock to help the heart re-establish an effective rhythm during sudden cardiac arrest (SCA). SCA occurs when the heart suddenly and unexpectedly stops beating, leading to a loss of blood flow to the brain and other vital organs. In such emergencies, time is of the essence, and using an AED, combined with Cardiopulmonary...