Penetrating wounds of the heart and great vessels. Experience with 24 cases including 3 with intracardiac defects.
نویسندگان
چکیده
Twenty-four cases of penetrating cardiac injuries due to stab wounds, which were seen over a 3-year period, are reviewed. Ten patients were treated by aspiration alone because tamponade was mild, or because they were seen more than 12 hours after injury. One patient with multiple stab wounds in the ventricles and left atrium died during emergency thoracotomy in the admission room. The mortality rate of 4,5% is considerably lower than rates reported in other series. Two cases of traumatic ventricular septal defects, one case of traumatic aortic incompetence and sinus of Valsalva fistulae with rupture into the right ventricle and right atrium, and one case of ascending aorta-innominate vein fistula are discussed. Our present plan of management is outlined.
منابع مشابه
Coronary artery-atrioventricular fistula and ventricular septal defect due to penetrating wound of the heart.
ALTHOUGH wounds of the heart have interested man from antiquity, it was not until 1896 that the first successful repair of a cardiac laceration was carried out by Rehn.1 By 1958 with the advent of modern diagnostic and surgical technics there were many comprehensive reports of penetrating heart wounds with survival (cited by Parmley et al.2 ). In civilian practice the majority of such penetrati...
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Introduction: Penetrating cardiac injuries generally occur secondary to gunshot or stab wounds and have a high mortality rate. They are rare and often fatal in children. When a foreign object penetrates the myocardium, it is dangerous to remove it, suddenly, and should be removed gradually to prevent excessive bleeding. Case report: We report a case of an unusual penetrating cardiac injury in a...
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ورودعنوان ژورنال:
- South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde
دوره 49 14 شماره
صفحات -
تاریخ انتشار 1975