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Penetrating cardiac injury. Temporary balloon occlusion urinary catheter

Penetrating cardiac injury. Temporary balloon occlusion urinary catheter.

Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil

Cardiac injury - antenna 01

Cardiac injury with car antenna

Frederick Foss


cardiac injury - antenna 02

Cardiac injury with car antenna

Frederick Foss

Cardiac injury - antenna 03

Cardiac injury with car antenna

Frederick Foss


Cardiac injury - antenna 04 - thoracotomy

Cardiac injury with car antenna - thoracotomy

Frederick Foss

Penetrating cardiac injury - stab to precordium

Penetrating cardiac injury - stab to precordium

Dr. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil


Penetrating cardiac injury - stab to precordium & resuscitative thoracotomy

Penetrating cardiac injury and emergency department thoracotomy

Dr. Ricardo Antonio Hoppen, Passo Fundo, Rio Grande do Sul, Brazil

Right ventricular stab - knife in situ - repair

Right ventricle injury, repair

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Right ventricular stab - knife in situ - chest radiograph

Right ventricular stab with right haemothorax. Chest radiograph.

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil

Right ventricular stab - knife in situ 01

Right venticular stab - knife in situ

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Right ventricular stab - knife in situ 02

Right ventricular stab - knife in situ

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil

Right ventricular stab - knife in situ - clamp control

Right ventricle injury, clamp control

Marcelo Miranda, Hospital Regional de Sorocaba, Sorocaba, Brazil


Pericardiocentesis

Pericardiocentesis

Guillermo Pé²¥z Chagerben, Clí®©ca Santa Gema, Equador

Gunshot wound to right lung, right atrium / suprahepatic IVC 01

Gunshot wound to right lung middle lobe

trauma.org


Gunshot wound to right lung, right atrium / suprahepatic IVC 02

Gunshot to right atrium / IVC

trauma.org

Gunshot wound to right lung, right atrium / suprahepatic IVC 03


FAST: sub-xiphoid view explanation

FAST: Sub-xiphoid view explanation

Left anterolateral thoracotomy

Left anterolateral thoracotomy

trauma.org


Cardiorrhaphy - Left ventricle pledget repair

Cardiorrhaphy - Left ventricular repair

Andre Campbell

Internal Cardiac Massage

Internal cardiac massage

trauma.org


Subxiphoid pericardial window

Subxiphoid pericardial window (negative)

Rafael Andrade-Alegre, Santo Tomás Hospital, Panamá

Cardiac Trauma - Stab Wound

Cardiac knife wound

Dr. Bernardo Ketzer


A cardiac lesion caused by a firearm 01

Cardiac firearm injury - at time of thoracotomy

Camilo Villalta Rodriguez M.D. El Salvador

A cardiac lesion caused by a firearm 02

Cardiac firearm injury - at time of thoracotomy

Camilo Villalta Rodriguez M.D. El Salvador


Left ventricle injury

Ventricular stab wound - median sternotomy

Dr.Setthabutr Eaupanitcharoen, M.D. Trauma Division, Department of Surgery, Maharat Nakornratchasima Hospital, Nakornratchasima, Thailand

Left ventricle injury 2

Ventricular stab wound - digital control

Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


Left ventricle injury 3

Ventricular stab wound - suture repair

Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand

Left ventricle injury 4

Ventricular stab wound - pledget repair

Dr.Setthabutr Eaupanitcharoen,M.D. Trauma Division, Department of surgery, Maharat Nakornratchasima hospital, Nakornratchasima Thailand


Penetrating cardiac injury repair

Penetrating cardiac injury repair

Dr Juan Javier Zuñiga Bohorquez, Dr Cesar Benitez Pozo, Dr Carlos Luis Salvador - Cardiothoracic Surgery Team, Hospital Luis Vernaza JBG Guayaquil - Ecuador

Articles

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Case Presentations

A Stab Wound to the Right Auriculoventricular Junction

sam zeraatian nejad davani, October 18, 2010

A patient came to our hospital trauma center with profound shock following a stab attack. The stab entry point was the right anterior chest wall. The injury was repaired and the patient discharged following a good recovery.

Cardiac laceration

, August 13, 2010

A patient was transferred to the Emergency Department of our hospital, having sustained two major stab injuries to the upper abdomen.

Biventricular shotgun injury of the heart

with involvment of proximal RCA and LAD

sam zeraatian nejad davani, July 31, 2010

20 years old man came with profound shock and bilateral massive hemothorax and jugular vein distension as result of cardiac tamponade. He underwent successful cardiac repair and had an uneventful post operative course.

Penetrating Cardiac Injuries

How to get the best possible outcome?

Denis Allard, GF Jooste hospital Manenberg, January 10, 2009

82% survival in 35 consecutive stab heart patients was achieved in a South African metropolitan community hospital during the year 2008. Excellent and expediant prehospital management, skilled emergency room personnel and available surgical skill is necessary to achieve these results. The survival rate depends on the number of patients analyzed. The last 160 patients have a 70% survival rate, the last 35 patients have an 82% survival rate. Every surgical team can achieve good results under appropriate leadership.

Research Blog Entries

Blunt Cardiac Rupture: A 5-Year NTDB Analysis.

Karim, London, UK, August 16, 2009

PubMed ID: 19680160
J Trauma. 2009 Aug 12.
Authors: Teixeira PG, Inaba K, Oncel D, Dubose J, Chan L, Rhee P, Salim A, Browder T, Brown C, Demetriades D.

Abstract:

OBJECTIVE:: Because of its rarity and high rate of mortality, traumatic blunt cardiac rupture (BCR) has been poorly studied. The objective of this study was to use the National Trauma Data Bank to review the epidemiology and outcomes associated with traumatic BCR. METHODS:: After approved by the institutional review board, the National Trauma Data Bank (version 5.0) was queried for all BCR occurring between 2000 and 2005. Demographics, clinical injury data, interventions, and outcomes were abstracted for each patient. Statistical analysis was performed using an unpaired Student's t test or Mann-Whitney U test to compare means and chi analysis to compare proportions. Stepwise logistic regression analysis was performed to identify independent predictors of inhospital mortality. RESULTS:: Of 811,531 blunt trauma patients, 366 (0.045%) had a BCR of which 334 were available for analysis, with the mean age of 45 years, 65% were men, and their mean Injury Severity Score was 58 +/- 19. The most common mechanism of injury was motor vehicle collision (73%), followed by pedestrian struck by auto (16%), and falls from height (8%). Twenty-one patients (6%) died on arrival and 140 (42%) died in the emergency room. The overall mortality for patients arriving alive to hospital was 89%. Of the patients surviving to operation, 42% survived >24 hours of which 87% were discharged. Survivors were significantly younger (39 vs. 46 years, p = 0.04), had a lower Injury Severity Score (47 vs. 56, p = 0.02), higher Glasgow Coma Scale (10 vs. 6, p < 0.001), and were more likely to present with an systolic blood pressure >/=90 mm Hg (p = 0.01). Nevertheless, none of these factors was found to be an independent risk factor for mortality. CONCLUSION:: BCR is an exceedingly rare injury, occurring in 1 of 2400 blunt trauma patients. In patients arriving alive to hospital, traumatic BCR is associated with a high mortality rate, however, is not uniformly fatal.