Treatment outcomes in penetrating cardiac injuries: a single-center experience
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MALCOVA, Tatiana, GURGHIŞ, Radu, GAGAUZ, Ion, ROJNOVEANU, Gheorghe. Treatment outcomes in penetrating cardiac injuries: a single-center experience. In: Scientific Collection ”InterConf”, 6-8 februarie 2021, Tokyo. Tokyo, Japan: Otsuki Press, 2021, Vol. 41, pp. 764-771. ISBN 978-4-272-00922-0.
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Scientific Collection ”InterConf”
Vol. 41, 2021
Conferința "7th International Scientific and Practical Conference Scientific Horizon in the context of social crises "
Tokyo, Japonia, 6-8 februarie 2021

Treatment outcomes in penetrating cardiac injuries: a single-center experience


Pag. 764-771

Malcova Tatiana, Gurghiş Radu, Gagauz Ion, Rojnoveanu Gheorghe
 
”Nicolae Testemițanu” State University of Medicine and Pharmacy
 
Disponibil în IBN: 14 octombrie 2021


Rezumat

Introduction: Heart wounds represents 3.1% of all thoracic trauma with general mortality accounting 12-32%. Methods and materials: Retrospective study included 40 patients that presented a precordial wound. Time period 2005-2018, M:W ratio - 38:2. Preoperative EKG was performed in 21(52.5%) cases, chest X-ray in 21(52.5%) cases, from which 11(52.4%) suspected cardiac tamponade and 6(28,6%) – hemothorax. Results: All patients were operated on an emergency, in most cases left anterolateral thoracotomy was performed (65%). Nonpenetrating cardiac injuries were found in 5(12.5%) cases, in other 35 penetrating heart wounds were discovered, in most cases right ventricle (40%) being damaged. In all cases cardiac suture was performed. In 28(70%) cases concomitant intrathoracic lesions were found, including lung parenchymal damage, internal mammary artery or intercostal artery rupture. Average hospitalization time – 16.8± 2.3 days, including Intensive Care Unit – 3.13±0.7. The overall mortality constituted 17.5%. Conclusion: Early recognition of heart injury, cardiac suture performed in time and degree of severity of cardiac lesions in 82.5% resulted in survival. Lethality increases directly proportional to the severity of the heart lesion and the volume of blood loss, the hypovolemic shock being associated with poor prognosis.

Cuvinte-cheie
trauma surgery, Cardiac injury, Cardiac suture