Penetrating cardiac injury caused by multiple rib fractures following high-energy trauma: Usefulness of the exploratory video-assisted thoracoscopic surgery

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL Acute Medicine & Surgery Pub Date : 2024-04-08 DOI:10.1002/ams2.938

Keisuke Tetsumoto, Masakazu Takayama, Tadaaki Koyama, Hidenao Kayawake, Masao Saito, Ken Nakamura, Yutaka Takahashi, Hiroshi Hamakawa

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Abstract

Background

Penetrating cardiac injuries are usually fatal and associated with poor survival rates.

Case Presentation

A 69-year-old man was injured in a motor vehicle accident and suffered from left hemothorax and multiple rib fractures near the heart. A comprehensive assessment raised suspicions of lacerated pericardium and myocardial injury. Consequently, a thoracoscopy was performed 9 h after injury. A penetrating cardiac injury was detected and surgically treated via video-assisted thoracoscopic surgery. The patient recovered uneventfully and was discharged on postoperative day 16.

Conclusion

Exploratory video-assisted thoracoscopic surgery may play a key role in the primary diagnosis of patients with high-energy chest traumas with cardiac injury and simultaneously allow for the appropriate surgical interventions.

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高能量创伤后多发性肋骨骨折导致的穿透性心脏损伤：探查性视频辅助胸腔镜手术的实用性

背景心脏穿透伤通常是致命伤，存活率很低。病例介绍一名 69 岁的男子在一次车祸中受伤，左侧血气胸，心脏附近多处肋骨骨折。经过全面评估，怀疑心包撕裂和心肌损伤。因此，在受伤 9 小时后进行了胸腔镜检查。发现了穿透性心脏损伤，并通过视频辅助胸腔镜手术进行了治疗。患者恢复顺利，术后第 16 天出院。结论视频辅助胸腔镜探查手术可在高能量胸部创伤合并心脏损伤患者的初步诊断中发挥关键作用，同时还能进行适当的手术干预。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acute Medicine & Surgery MEDICINE, GENERAL & INTERNAL-

自引率

12.50%

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审稿时长

53 weeks