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Management of cardiac trauma and penetrating cardiac injuries with severe hemorrhagic shock: a 5-year experience.
J Trauma Inj
December 2024
Department of Cardiovascular and Thoracic Surgery, Tam Anh Hospital, Ho Chi Minh City, Vietnam.
Purpose: The diagnosis and management of cardiac trauma and penetrating cardiac injuries pose significant challenges in emergency settings due to the rapid onset of life-threatening complications. This paper presents a narrative review to better describe the etiology, presentation, and management of penetrating cardiac trauma, offering insights and experiences related to performing emergency surgery for such cases.
Methods: We compiled cases of traumatic cardiac rupture and penetrating cardiac injuries accompanied by severe hemorrhagic shock that necessitated emergency surgery.
Vancomycin wound penetration in open-heart surgery patients receiving negative pressure wound therapy for deep sternal wound infection.
Ann Med
December 2025
Department of Clinical Pharmacology, Institute of Laboratory Medicine, University Hospital Ostrava, Ostrava, Czech Republic.
Introduction: It is hypothesized that systemically administered antibiotics penetrate wound sites more effectively during negative pressure wound therapy (NPWT). However, there is a lack of clinical data from patients who receive NPWT for deep sternal wound infection (DSWI) after open-heart surgery. Here, we evaluated vancomycin penetration into exudate in this patient group.
View Article and Find Full Text PDFA shot through the heart: a case report on retained bullet causing cardiac tamponade.
Eur Heart J Case Rep
December 2024
Department of Cardiology, DMC/Harper University Hospital, 3990 John R St, Detroit, MI 48201, USA.
Background: As a rare complication of penetrating chest trauma, one can occasionally find foreign bodies inside the pericardium. Even rarer is finding an intact bullet inside the pericardial cavity following the gunshot injury.
Case Summary: A 17-year-old male presented to the emergency department as a Level 1 trauma for multiple gunshot wounds.
Penetrating cardiac injuries: What you need to know.
J Trauma Acute Care Surg
December 2024
From the Emergency Surgical Services, Department of Surgery (J.G.P.), Santa Casa School of Medicine, Sao Paulo, Brazil; Division of Acute Care Surgery (R.C.), and Comparative Effectiveness and Clinical Outcomes Research Center (R.C.), Riverside University Health System Medical Center, Moreno Valley; and Loma Linda University School of Medicine (R.C.), Loma Linda, California.
Despite significant advances in trauma surgery in recent years, patients sustaining penetrating cardiac injuries still have an overall survival rate of 19%. A substantial number of deaths occur at the scene, while approximately 40% of those reaching trauma centers survive. To increase survival, the key factor is timely intervention for bleeding control, pericardial tamponade release, and definitive repair.
View Article and Find Full Text PDFPatient-Related Progression of Steeper Sternal Wire Angles: A Case Report.
Cureus
October 2024
Cardiovascular Surgery, Sapporo Medical University, Sapporo, JPN.
A 78-year-old female presented with a history of left atrial myxoma resection 12 years before presentation. The initial surgery involved a median sternotomy and cardiopulmonary bypass for tumor excision. Sternal closure was achieved using six titanium wires, with the lowermost wire noted to be slightly elevated from the sternum immediately post-operation.
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