PMID: 9191673May 1, 1997Paper

Acute management of complex cardiac injuries

The Journal of Trauma
M J WallJ C Baldwin

Abstract

Injury to the heart has been studied extensively. However, a small group of patients with injuries to the coronary arteries or intracardiac structures may require a different operative approach. Retrospective review of a cardiovascular injury database. Over a 20-year period, 711 cardiac injuries were treated. The mean age of the victims was 31.1 (90% men). Causes were primarily stab wounds (54%) and gunshot wounds (42%). Cardiac chambers injured included the right ventricle (40%), left ventricle (40%), right atrium (24%), and left atrium (3%). The overall mortality was 47%. Sixty complex injuries occurred. Of 21 left anterior descending coronary artery injuries (76.2% mortality), two patients presented with sufficient signs of life to warrant emergent coronary artery bypass (mortality 50%). There were seven circumflex/obtuse marginal coronary artery injuries, all treated with ligation (mortality 71.4%). Eight right/posterior descending coronary artery injuries (mortality 62.5%) were seen, and all but one were treated with ligation. The one patient not treated with ligation underwent coronary bypass and died. Delayed mitral valve replacement was performed for two valvular injuries (mitral). There were a total of 14 intracardiac ...Continue Reading

References

Dec 1, 1979·The Annals of Thoracic Surgery·H H WhisennandR Espada
Nov 1, 1976·The Annals of Thoracic Surgery·K L Mattox, A C Beall
Sep 1, 1975·The Annals of Thoracic Surgery·A I MidellG Bermudez
Jun 11, 1992·The Journal of Trauma·L A DurhamK L Mattox
Jul 1, 1990·The British Journal of Surgery·D DemetriadesD Pantanowitz
Jan 8, 1968·JAMA : the Journal of the American Medical Association·A KantrowitzJ L Sherman
Mar 1, 1984·British Heart Journal·R BaylissS E Young
Jun 1, 1982·The Journal of Trauma·A S Gervin, R P Fischer
Feb 1, 1980·Annals of Surgery·M FallahnejadH W Wallace
Aug 1, 1996·The Surgical Clinics of North America·J A AsensioM D Kerstein
Mar 1, 1961·The Journal of Trauma·A C BEALLM E DEBAKEY

❮ Previous
Next ❯

Citations

Mar 13, 2009·General Thoracic and Cardiovascular Surgery·Hideki ItoAkio Matsuura
Oct 1, 2009·The Indian Journal of Surgery·Dipti Agarwal, Subhash Chandra
Feb 16, 2005·Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology·Emanuela TurillazziVittorio Fineschi
Jun 1, 2001·The Annals of Thoracic Surgery·R LimC E Smith
Mar 20, 2003·The Annals of Thoracic Surgery·Douglas M G BowleySteve C Davis
Jul 25, 2003·The Journal of Thoracic and Cardiovascular Surgery·James B McClurkenBradford J Lin
Jan 12, 2002·European Journal of Emergency Medicine : Official Journal of the European Society for Emergency Medicine·E KarinY Kluger
Jun 19, 2003·The Journal of Trauma·Kathia V AlejandroPablo A Rodríguez
Jun 13, 2006·The Journal of Trauma·Julio C Vasquez, Frank A Baciewicz
Apr 7, 2007·The Journal of Trauma·Kuhn ParkWon-Jae Lee
Jan 22, 2010·Clinical Nuclear Medicine·Hung-Jen HsiehYu-Hsiang Chou
Jun 9, 2006·World Journal of Emergency Surgery : WJES·C Clay Cothren, Ernest E Moore
Jan 29, 2014·Clinical Research in Cardiology : Official Journal of the German Cardiac Society·Marco Campo dell' OrtoRaoul Breitkreutz
Jun 15, 2006·World Journal of Surgery·Elias DegiannisMartin D Smith
Aug 1, 2010·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·B Zane AtkinsGary A Vercruysse
Apr 11, 2012·Emergency Medicine Clinics of North America·Bruno Bernardin, Jean-Marc Troquet
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Michael W ParraIvan Puente
May 16, 2009·Injury·Nicholas KangPeter Alison
Apr 19, 2008·Seminars in Thoracic and Cardiovascular Surgery·Juan C MejiaStephen M Cohn
Jun 22, 2005·Journal of Interventional Cardiology·Amgad N MakaryusChong H Park
Jul 31, 2007·Journal of Cardiac Surgery·Faruk CingozHarun Tatar
Apr 1, 2006·The Journal of Small Animal Practice·F Kettner, R M Kirberger
Jun 19, 2004·Injury·Michael F Rotondo, Michael R Bard
Jun 10, 1998·Journal of the American Society of Echocardiography : Official Publication of the American Society of Echocardiography·W H PasteuningO C Penn
Aug 1, 1997·The Surgical Clinics of North America·M J Wall, E Soltero
Dec 30, 2014·International Journal of Surgery Case Reports·Petr SantavyVladimir Lonsky
Aug 4, 2016·Journal of Cardiothoracic Surgery·Jareer Heider Abu-HmeidanNawwaf Rahi Al-Shammari
Nov 29, 2012·The Journal of Trauma and Acute Care Surgery·Clay Cothren BurlewWalter L Biffl
Aug 6, 2011·The Journal of Trauma·Chang-Fu PengCynthia C Taub
May 1, 2002·Current Opinion in Cardiology·Matthew J Wall, Ernesto R Soltero
Nov 26, 2014·The Journal of Trauma and Acute Care Surgery·Riyad Karmy-JonesWalter L Biffl
Sep 3, 2019·Asian Cardiovascular & Thoracic Annals·Ayame Ochi, Ashutosh A Hardikar
Feb 5, 2002·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Pradeep NarayanRoberto Casula
Jul 17, 2020·Trauma Case Reports·Gustavo Romero-VelezSrinivas H Reddy
Jun 18, 2021·The Journal of Trauma and Acute Care Surgery·Benjamin P JohnsonNikolay Bugaev

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.