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Penetrating cardiothoracic war wounds

B Biocina1, Z Sutlić, I Husedzinović

  • 1Department of Cardiac Surgery, Clinical Hospital Centre Dubrava, Zagreb, Croatia.

European Journal of Cardio-Thoracic Surgery : Official Journal of the European Association for Cardio-Thoracic Surgery
|March 1, 1997
PubMed
Summary
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Penetrating cardiothoracic war wounds are serious but treatable injuries. Prompt treatment of these injuries in 259 patients resulted in relatively low mortality and morbidity rates.

Area of Science:

  • Trauma Surgery
  • Thoracic Surgery
  • Cardiovascular Surgery

Background:

  • Penetrating cardiothoracic war wounds are frequent and require immediate, specialized care to minimize death and long-term health issues.
  • Optimal treatment strategies for these injuries remain debated, with limited large-scale studies available in current literature.

Purpose of the Study:

  • To analyze the outcomes of patients with penetrating cardiothoracic war wounds.
  • To provide insights into the management and complications associated with these severe injuries.

Main Methods:

  • A retrospective analysis of 259 patients with penetrating cardiothoracic war wounds treated between May 1991 and October 1992.
  • Detailed examination of injury types, causes, initial treatments, complications, secondary procedures, and mortality rates.

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Main Results:

  • The majority of injuries (90.7%) were thoracic, with a significant portion caused by shrapnel (67%).
  • Initial treatments included chest drainage, thoracotomy with lung suture, lobectomy, and pneumonectomy. Common complications included pleural empyema and lung abscess.
  • Cardiac injuries involved various chambers and great vessels, with suture repair being the primary procedure. Overall mortality was 5.4% for thoracic injuries, 1.2% for cardiac injuries, and 4.2% for combined injuries.

Conclusions:

  • Penetrating cardiothoracic wounds represent critical wartime injuries with significant potential for mortality and morbidity.
  • Despite their severity, these injuries can be managed effectively, leading to favorable outcomes with relatively low mortality and morbidity rates.