Cardiac Trauma

2010 ◽  
pp. 225-233
Author(s):  
Karim Ratib ◽  
Gurbir Bhatia ◽  
Neal Uren ◽  
James Nolan
Keyword(s):  
Cardiac Trauma

Tricuspid valve repair via partial sternotomy for traumatic valve insufficiency

2021 ◽  
pp. 021849232110100
Author(s):  
Motohiro Maeda ◽  
Jiro Honda ◽  
Yosuke Ishi
Keyword(s):  
Tricuspid Valve ◽  
Chest Trauma ◽  
Right Heart Failure ◽  
Tricuspid Valve Repair ◽  
Valve Repair ◽  
Cardiac Trauma ◽  
Partial Sternotomy ◽  
Tricuspid Valve Insufficiency ◽  
Valve Insufficiency ◽  
Early Surgical Intervention

Tricuspid valve insufficiency rarely follows a blunt chest trauma. When the tricuspid valve is solely injured, the cardiac trauma may stay asymptomatic and tolerable, which often makes it difficult to determine the indication for surgery. We report a case of a patient with tricuspid regurgitation secondary to trauma due to a motorcycle accident. The patient was initially asymptomatic, but shortness of breath emerged two years after the accident. He underwent the tricuspid valve repair with chordae reconstruction and annuloplasty via lower partial sternotomy. We advocate that early surgical intervention prevents right heart failure, atrial fibrillation, and valve replacement.

scholarly journals (A110) Cardiac Trauma in Children

2011 ◽  
Vol 26 (S1) ◽  
pp. s38-s39
Author(s):  
D.U. Krivchenya ◽  
Y.O. Rudenko ◽  
P.P. Sokur
Keyword(s):  
Heart Valves ◽  
Coronary Vessels ◽  
Severe Form ◽  
Surgical Operation ◽  
Central Venous ◽  
Cardiac Trauma ◽  
Patients Âgés ◽  
Post Traumatic ◽  
Heart Wall ◽  
Heart Lesions

Heart trauma is a severe form of thoracic trauma with an incidence of 7–14%. Heart trauma can be either open or blunt, with the latter more prevalent during a disaster. Possible open heart injuries include: (1) pericardial injuries; (2) superficial myocardial and coronary vessels injuries; and (3) penetrating cardiac wounds. The variants of blunt heart trauma include: (1) heart concussion and contusion; (2) rupture of the heart wall and intracardiac structures; (3) rupture of cusps and cords of the heart valves; and (4) cardiac septa (i.e., post-traumatic heart lesions). The latter are characteristic of injuries caused by a fall, and/or a crushing event. The course of heart trauma is severe, and is complicated by the development of shock and catastrophic hemodynamic disorders due to the sudden occurrence of post-traumatic heart lesions and infarction. Thus, verifying cardiac trauma can be complicated. Diagnosing and assessing the severity of heart trauma requires the measurement of intra-arterial and central venous pressures, chest radiography, electrocardiography, pericardial puncture, echocardiography, magnetic resonance imaging, cardioangiography, and measurement of heart enzymes. One-hundred twenty-seven patients ages 2 to 42 years with open (92.1%) and blunt (7.9%) cardiac trauma were treated. Of these patients, 16.5% were children and teenagers. The challenges of treating heart trauma include simultaneously carrying out anti-shock treatment, surgical operation, and resuscitation measures. If post-traumatic heart lesions are diagnosed, surgical correction should be performed despite cardiac decompression. The use of cardiopulmonary bypass is essential.

scholarly journals Cardiac Injuries at Estonian Major Trauma Facilities: A 23-year Perspective

2018 ◽  
Vol 108 (2) ◽  
pp. 159-163 ◽  
Author(s):  
M. Einberg ◽  
S. Saar ◽  
A. Seljanko ◽  
A. Lomp ◽  
U. Lepner ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Primary Outcome ◽  
Major Trauma ◽  
Alcohol Intoxication ◽  
Cardiac Injury ◽  
Hospital Length ◽  
Hospital Length Of Stay ◽  
Cardiac Trauma ◽  
Icd 10 ◽  
Overall Mortality

Background and Aims: Cardiac injuries are highly lethal lesions following trauma and most of the patients decease in pre-hospital settings. However, studies on cardiac trauma in Estonia are scarce. Thus, we set out to study cardiac injuries admitted to Estonian major trauma facilities during 23 years of Estonian independence. Materials and Methods: After the ethics review board approval, all consecutive patients with cardiac injuries per ICD-9 (861.0 and 861.1) and ICD-10 codes (S.26) admitted to the major trauma facilities between 1 January 1993 and 31 July 2016 were retrospectively reviewed. Cardiac contusions were excluded. Data collected included demographics, injury profile, and in-hospital outcomes. Primary outcome was mortality. Secondary outcomes were cardiac injury profile and hospital length of stay. Results: During the study period, 37 patients were included. Mean age was 33.1 ± 12.0 years and 92% were male. Penetrating and blunt trauma accounted for 89% and 11% of the cases, respectively. Thoracotomy and sternotomy rates for cardiac repair were 80% and 20%, respectively. Most frequently injured cardiac chamber was left ventricle at 49% followed by right ventricle, right atrium, and left atrium at 34%, 17%, and 3% of the patients, respectively. Multi-chamber injury was observed at 5% of the cases. Overall hospital length of stay was 13.5 ± 16.7 days. Overall mortality was 22% (n = 8) with uniformly fatal outcomes following left atrial and multi-chamber injuries. Conclusion: Overall, 37 patients with cardiac injuries were hospitalized to national major trauma facilities during the 23-year study period. The overall in-hospital mortality was 22% comparing favorably with previous reports. Risk factors for mortality were initial Glasgow Coma Scale < 9, pre-hospital cardiopulmonary resuscitation, and alcohol intoxication.

Cardiac trauma

1976 ◽  
Vol 92 (3) ◽  
pp. 387-396 ◽  
Author(s):  
Panagiotis N. Symbas
Keyword(s):  
Cardiac Trauma

scholarly journals Penetrating cardiac trauma: Surgical treatment in 2 Emergency Hospitals in Mexico City

2019 ◽  
Vol 4 (3) ◽  
Author(s):  
Carlos ázquez-Salinas ◽  
Luis Raúl Meza-López ◽  
Luis E. Santos-Martínez ◽  
Silvia Hernández-Meneses ◽  
Francisco Barrera-Martínez ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Mexico City ◽  
Cardiac Trauma ◽  
Penetrating Cardiac Trauma
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