Penetrating cardiac injury refers to traumatic injury to the heart secondary to penetrating action. This includes injury such as stab, gunshot, and accidental impalements. Hemorrhage, cardiac tamponade, and cardiac failure are the three major disoders associated with penetrating cardiac injury. Patients with cardiac injury have varying clinical conditions from hemodynamically stable to cardiac arrest. Due to this presentation the detection and management of cardiac injury is a great challenge. When this injury occurred in a setting where there is no diagnostic imaging, equipment, or cardiac surgeon, it is a nightmare for the emergency physician. Here we will present a 27 year old male who sustained stab injury to his left chest around the pericardial area which resulted in cardiac tamponade. He was managed with emergency thoracotomy with cardiorrhaphy and discharged improved. Although cardiac trauma accounts about only 1% of chest trauma, it is still has increased mortality and morbidity. Emergency thoracotomy, preferable anterolateral approach, should be done once cardiac injury with tamponade is diagnosed if experienced surgeon is available. But in the setting experienced surgeon is not available one should go for pericardiocentesis as stabilization and for possible transportation of the patient to center capable of doing emergency thoracotomy. In conclusion, having high index of suspicion for cardiac injury, timely transportation, and early operative intervention will have good outcome in patient who sustained penetrating cardiac injury with tamponade. And the result of this case report shows the successful management of cardiac injury with tamponade in resource limited settings.
| Published in | European Journal of Clinical and Biomedical Sciences (Volume 9, Issue 1) |
| DOI | 10.11648/j.ejcbs.20230901.11 |
| Page(s) | 1-4 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Penetrating Cardiac Injury, Cardiac Tamponade, Resuscitative Thoracotomy
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APA Style
Mengistu Solomon, Wondwossen Amtataw, Yonas Ademe, Seyoum Kassa. (2023). Successful Management of Penetrating Cardiac Injury with Tamponade in a Low Resource Setting: Case Report from Yekatit 12 Hospital Medical College. European Journal of Clinical and Biomedical Sciences, 9(1), 1-4. https://doi.org/10.11648/j.ejcbs.20230901.11
ACS Style
Mengistu Solomon; Wondwossen Amtataw; Yonas Ademe; Seyoum Kassa. Successful Management of Penetrating Cardiac Injury with Tamponade in a Low Resource Setting: Case Report from Yekatit 12 Hospital Medical College. Eur. J. Clin. Biomed. Sci. 2023, 9(1), 1-4. doi: 10.11648/j.ejcbs.20230901.11
AMA Style
Mengistu Solomon, Wondwossen Amtataw, Yonas Ademe, Seyoum Kassa. Successful Management of Penetrating Cardiac Injury with Tamponade in a Low Resource Setting: Case Report from Yekatit 12 Hospital Medical College. Eur J Clin Biomed Sci. 2023;9(1):1-4. doi: 10.11648/j.ejcbs.20230901.11
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Download@article{10.11648/j.ejcbs.20230901.11,
author = {Mengistu Solomon and Wondwossen Amtataw and Yonas Ademe and Seyoum Kassa},
title = {Successful Management of Penetrating Cardiac Injury with Tamponade in a Low Resource Setting: Case Report from Yekatit 12 Hospital Medical College},
journal = {European Journal of Clinical and Biomedical Sciences},
volume = {9},
number = {1},
pages = {1-4},
doi = {10.11648/j.ejcbs.20230901.11},
url = {https://doi.org/10.11648/j.ejcbs.20230901.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ejcbs.20230901.11},
abstract = {Penetrating cardiac injury refers to traumatic injury to the heart secondary to penetrating action. This includes injury such as stab, gunshot, and accidental impalements. Hemorrhage, cardiac tamponade, and cardiac failure are the three major disoders associated with penetrating cardiac injury. Patients with cardiac injury have varying clinical conditions from hemodynamically stable to cardiac arrest. Due to this presentation the detection and management of cardiac injury is a great challenge. When this injury occurred in a setting where there is no diagnostic imaging, equipment, or cardiac surgeon, it is a nightmare for the emergency physician. Here we will present a 27 year old male who sustained stab injury to his left chest around the pericardial area which resulted in cardiac tamponade. He was managed with emergency thoracotomy with cardiorrhaphy and discharged improved. Although cardiac trauma accounts about only 1% of chest trauma, it is still has increased mortality and morbidity. Emergency thoracotomy, preferable anterolateral approach, should be done once cardiac injury with tamponade is diagnosed if experienced surgeon is available. But in the setting experienced surgeon is not available one should go for pericardiocentesis as stabilization and for possible transportation of the patient to center capable of doing emergency thoracotomy. In conclusion, having high index of suspicion for cardiac injury, timely transportation, and early operative intervention will have good outcome in patient who sustained penetrating cardiac injury with tamponade. And the result of this case report shows the successful management of cardiac injury with tamponade in resource limited settings.},
year = {2023}
}
TY - JOUR T1 - Successful Management of Penetrating Cardiac Injury with Tamponade in a Low Resource Setting: Case Report from Yekatit 12 Hospital Medical College AU - Mengistu Solomon AU - Wondwossen Amtataw AU - Yonas Ademe AU - Seyoum Kassa Y1 - 2023/02/04 PY - 2023 N1 - https://doi.org/10.11648/j.ejcbs.20230901.11 DO - 10.11648/j.ejcbs.20230901.11 T2 - European Journal of Clinical and Biomedical Sciences JF - European Journal of Clinical and Biomedical Sciences JO - European Journal of Clinical and Biomedical Sciences SP - 1 EP - 4 PB - Science Publishing Group SN - 2575-5005 UR - https://doi.org/10.11648/j.ejcbs.20230901.11 AB - Penetrating cardiac injury refers to traumatic injury to the heart secondary to penetrating action. This includes injury such as stab, gunshot, and accidental impalements. Hemorrhage, cardiac tamponade, and cardiac failure are the three major disoders associated with penetrating cardiac injury. Patients with cardiac injury have varying clinical conditions from hemodynamically stable to cardiac arrest. Due to this presentation the detection and management of cardiac injury is a great challenge. When this injury occurred in a setting where there is no diagnostic imaging, equipment, or cardiac surgeon, it is a nightmare for the emergency physician. Here we will present a 27 year old male who sustained stab injury to his left chest around the pericardial area which resulted in cardiac tamponade. He was managed with emergency thoracotomy with cardiorrhaphy and discharged improved. Although cardiac trauma accounts about only 1% of chest trauma, it is still has increased mortality and morbidity. Emergency thoracotomy, preferable anterolateral approach, should be done once cardiac injury with tamponade is diagnosed if experienced surgeon is available. But in the setting experienced surgeon is not available one should go for pericardiocentesis as stabilization and for possible transportation of the patient to center capable of doing emergency thoracotomy. In conclusion, having high index of suspicion for cardiac injury, timely transportation, and early operative intervention will have good outcome in patient who sustained penetrating cardiac injury with tamponade. And the result of this case report shows the successful management of cardiac injury with tamponade in resource limited settings. VL - 9 IS - 1 ER -
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