Delayed Cardiac Injury from Gradual Bullet Fragment Erosion into the Right Ventricle
Journal Title: Journal of Surgery - Year 2013, Vol 1, Issue 1
Abstract
Penetrating cardiac injuries are among the most lethal of all traumatic injuries, with many studies citing mortalities of 70-90% [1-3]. Such injuries account for a very small proportion of annual trauma admissions (0.1%) with most institutions reporting fewer than 10 cases per year [3]. This presents a challenge to trauma care providers in becoming adept at rapidly identifying and treating penetrating cardiac injuries. Moreover, in contrast to other injury mechanisms, survival from penetrating cardiac injuries has shown only modest improvement over the last several decades. Most importantly, a high index of clinical suspicion, rapid diagnosis, and expeditious surgical treatment yields the best chance of survival. Current understanding of this injury pattern is largely based on case series due to its rarity. This manuscript adds to the body of literature on penetrating cardiac injuries by detailing a 29-year-old male who experienced fullthickness right ventricular erosion from cardiac contraction against an abutting bullet fragment, a process that developed within three hours from the time of injury. We will describe the epidemiology and review the diagnosis and treatment of penetrating cardiac injuries with specific reference to our unusual case.
Authors and Affiliations
Angela Echeverria
Keywords
Related Articles
- EP ID EP203752
- DOI 10.13188/2332-4139.1000004
- Views 119
- Downloads 0
Primary Thyroid Lymphoma: A Comprehensive Review of Contemporary Management
Primary thyroid lymphoma is an uncommon malignancy that constitutes fewer than 2% of all extranodal non-Hodgkin lymphomas (NHLs) and only 0.6% to 5% of all thyroid malignancies. Histologic subtypes include diffuse large...
Tubularized Incised Plate (TIP) Repair Improves Outcome of Hypospadias Repair
Aim of the study: To analyze if a change of surgical method affects the complication rate in hypospadias surgery. Methods: Over a period of six years, the Mathieu procedure was replaced by the Tubularized Incised Plate...
Robotic Versus Laparoscopic Sleeve Gastrectomy for Morbid Obesity: A Meta-Analysis
Background: Sleeve gastrectomy (SG) represents the fastest growing bariatric surgical procedure and has been associated with few long term complications. SG provides the opportunity to act as a bridge for future procedur...
Foreign Body Removal in Indian Patient after 18 Years of Ingestion
Exploratory laparotomy is considered as the conventional management procedure for acute abdominal issues. It can cause paralytic ileus and may lead to abdominal wall dehiscence. Few cases of lump ingestion have been repo...
Early Migration of the R3 Uncemented Acetabular Component: A Prospective 2 Year Radiostereometric Analysis
Background: Radiostereometric Analysis (RSA) is a highly accurate and true three dimensional method that analyses implant micromotion following total joint replacement surgery. This methodology was used to assess the mig...