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Trauma to the heart

J Brown1, F L Grover

  • 1Section of Thoracic Surgery, University of Colorado Health Science Center, Denver, USA.

Chest Surgery Clinics of North America
|May 1, 1997
PubMed
Summary
This summary is machine-generated.

Traumatic heart injuries are survivable due to rapid transport and expert trauma surgeons. Most cardiac injuries can be repaired without cardiopulmonary bypass, improving patient outcomes.

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Area of Science:

  • Cardiovascular Surgery
  • Trauma Care
  • Emergency Medicine

Background:

  • Traumatic cardiac injury historically carried a high mortality rate.
  • Advances in emergency medical services and surgical techniques have evolved treatment paradigms.

Purpose of the Study:

  • To highlight the improved survival rates for traumatic heart injuries.
  • To emphasize the feasibility of repairing most cardiac injuries without cardiopulmonary bypass.

Main Methods:

  • Review of outcomes for patients with penetrating and blunt cardiac trauma.
  • Analysis of surgical repair techniques, focusing on those not requiring cardiopulmonary bypass.

Main Results:

  • Significant survival rates are now achievable for both penetrating and blunt cardiac injuries.

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  • The majority of traumatic heart injuries can be successfully treated by thoracic surgical trauma specialists without cardiopulmonary bypass.

    • Conclusions:

    • Traumatic cardiac injury is manageable and no longer a definitive death sentence.
    • Thoracic surgical expertise is crucial for the successful, non-bypass treatment of these injuries.