Video-Assisted Thoracoscopy For Penetrating Cardiac Box Injury in Stable Patients
| Autor: | Carlos A Arias, Sergio A Alzate, Eric E. Vinck, Juan Carlos Garzón, Rodolfo Barrios, Eduardo Posada Ángel, Stella I. Martínez, Tjark Ebels, Alexander Fernández |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
RD1-811 Thoracic Injuries MEDLINE Wounds Penetrating Context (language use) Review Article DIAGNOSIS Cardiac Ultrasound Trauma Centers MANAGEMENT Thoracoscopy medicine Humans Trauma team Diseases of the circulatory (Cardiovascular) system Video assisted thoracoscopy PERICARDIAL-EFFUSION Penetraing TRAUMA TAMPONADE Data Management medicine.diagnostic_test Thoracic Surgery Video-Assisted business.industry General surgery Open surgery Gunshot ASSOCIATION General Medicine Pericardial Window Techniques Heart Injuries RC666-701 Wounds Surgery Wounds Gunshot Tamponade ECHOCARDIOGRAPHY Cardiology and Cardiovascular Medicine business Wounds Penetraing |
| Zdroj: | Brazilian Journal of Cardiovascular Surgery, Volume: 36, Issue: 4, Pages: 550-556, Published: 15 OCT 2021 Brazilian Journal of Cardiovascular Surgery, Vol 36, Iss 4, Pp 550-556 (2021) Brazilian Journal of Cardiovascular Surgery v.36 n.4 2021 Brazilian Journal of Cardiovascular Surgery Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV) instacron:SBCCV Brazilian Journal of Cardiovascular Surgery, Issue: ahead, Published: 11 JUN 2021 |
| Popis: | Introduction: In high-volume trauma centers, especially in developing countries, penetrating cardiac box injuries are frequent. Although many aspects of penetrating chest injuries have been well established, video-assisted thoracoscopy is still finding its place in cardiac box trauma and algorithmic approaches are still lacking. The purpose of this manuscript is to provide a streamlined recommendation for penetrating cardiac box injury in stable patients. Methods: Literature review was carried out using PubMed/MEDLINE and Google Scholar databases to identify articles describing the characteristics and concepts of penetrating cardiac box trauma, including the characteristics of tamponade, cardiac ultrasound, indications and techniques of pericardial windows and, especially, the role of video-assisted thoracoscopy in stable patients. Results: Penetrating cardiac box injuries, whether by stab or gunshot wounds, require rapid surgical consultation. Unstable patients require immediate open surgery, however, determining which stable patients should be taken to thoracoscopic surgery is still controversial. Here, the classification of penetrating cardiac box injury used in Colombia is detailed, as well as the algorithmic approach to these types of trauma. Conclusion: Although open surgery is mandatory in unstable patients with penetrating cardiac box injuries, a more conservative and minimally invasive approach may be undertaken in stable patients. As rapid decision-making is critical in the trauma bay, surgeons working in high-volume trauma centers should expose themselves to thoracoscopy and always consider this possibility in the setting of penetrating cardiac box injuries in stable patients, always in the context of an experienced trauma team. |
| Databáze: | OpenAIRE |
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