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Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability
Joint Authors
al-Lal, Yusef Mohamed
Turégano Fuentes, Fernando
Amunategui Prats, Iñaki
de Tomás Palacios, Jorge
Zarain Obrador, Leire
Source
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-08-16
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Cardiac injuries caused by knives and firearms are slightly increasing in our environment.
We report the case of a 43-year-old male patient with a transmediastinal gunshot wound (TGSW) and a through-and-through cardiac wound who was hemodynamically stable upon his admission.
He had an entrance wound below the left clavicle, with no exit wound, and decreased breath sounds in the right hemithorax.
Chest X-ray showed the bullet in the right hemithorax and large right hemothorax.
The ultrasound revealed pericardial effusion, and a chest tube produced 1500 cc.
of blood, but he remained hemodynamically stable.
Considering these findings, a median sternotomy was carried out, the through-and-through cardiac wounds were suture-repaired, lung laceration was sutured, and a pacemaker was placed in the right ventricle.
The patient had uneventful recovery and was discharged home on the twelfth postoperative day.
The management and prognosis of these patients are determined by the hemodynamic situation upon arrival to the Emergency Department (ED), as well as a prompt surgical repair if needed.
Patients with a TGSW have been divided into three groups according to the SBP: group I, with SBP >100 mmHg; group II, with SBP 60–100 mmHg; and group III, with SBP <60 mmHg.
The diagnostic workup and management should be tailored accordingly, and several series have confirmed high chances of success with conservative management when these patients are hemodynamically stable.
American Psychological Association (APA)
Zarain Obrador, Leire& al-Lal, Yusef Mohamed& de Tomás Palacios, Jorge& Amunategui Prats, Iñaki& Turégano Fuentes, Fernando. 2014. Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability. Case Reports in Surgery،Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-513673
Modern Language Association (MLA)
Zarain Obrador, Leire…[et al.]. Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability. Case Reports in Surgery No. 2014 (2014), pp.1-3.
https://search.emarefa.net/detail/BIM-513673
American Medical Association (AMA)
Zarain Obrador, Leire& al-Lal, Yusef Mohamed& de Tomás Palacios, Jorge& Amunategui Prats, Iñaki& Turégano Fuentes, Fernando. Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability. Case Reports in Surgery. 2014. Vol. 2014, no. 2014, pp.1-3.
https://search.emarefa.net/detail/BIM-513673
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-513673