Self-inflicted wound with a nail in the heart: Case report
| Autor: | Francisco Reyna-Sepúlveda, Gerardo Muñoz-Maldonado, Asdrúbal Guevara-Charles, Francisco Vásquez-Fernández, Marco Hernández-Guedea, R.G. Cueto-Ramos |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Thorax
medicine.medical_specialty Pericardial patch Medical treatment business.industry medicine.medical_treatment High mortality Injury 030208 emergency & critical care medicine Emergency department Surgery 03 medical and health sciences Penetrating 0302 clinical medicine medicine.anatomical_structure 030220 oncology & carcinogenesis Conventional PCI medicine Nail (anatomy) Thoracotomy business Cardiac |
| Zdroj: | Medicina Universitaria. 18:20-22 |
| ISSN: | 1665-5796 |
| DOI: | 10.1016/j.rmu.2016.03.002 |
| Popis: | Introduction Adequate diagnosis and treatment of penetrating cardiac injury (PCI) represents a great challenge for the surgeon in the emergency department (ED) because of its high mortality. It is estimated that more than 90% of mortality happens before the patient reaches the hospital and only 15–50% of those will receive appropriate medical treatment. Case report A 42-year-old hemodynamically stable male is brought to the ED with a protruding nail in his thorax. He is taken to the operating room (OR) where a medial sternotomy is performed and an injury is found in the left ventricle. Cardiac muscle repair is performed with pericardial patch. Discussion PCI from a suicide attempt secondary to a nail hammered into the chest is very rare and no previous reports were found by the author. Conclusion The objects that penetrate cardiac structures must be removed in a proper OR with capable personnel and the resources available to perform procedures like an urgent thoracotomy or sternotomy. |
| Databáze: | OpenAIRE |
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