Öz
18 years old male patient was admitted to our emergency unit with a penetrating stab wound to the right ventricule. A stab wound to the right ventricle was found to be 3 cm in diameter. The bleeding was controlled by insertion of a Foley catheter and inflation of the balloon. The stab wound had transected distal acute marginal side of the right coronary artery. A successful repair was performed with the use of a foley catheter and application of the Medtronic Octopus Tissue Stabilization System. The wound was closed with pledgeted mattress sutures. The distal acute marginal side of the right coronary artery was ligated. In this presentation, the surgical intervention method was reported and followed by a discussion of emergency surgical procedures of the heart.
Anahtar Kelimeler
Kaynakça
- Asensio JA, Berne JD, Demetriades D, et al: One hundred five penetrating cardiac injures: a 2-year prospective evaluation. J Trauma 1998; 44:1073
- Sabers CJ, Levy NT, Bowen JM: A 33-year old man with chest pain and fever. Mayo Clin Proc 1999; 74:181
- Fedalen P.A., Bard M.R., Piacentino V., 3rd, et al. Intraluminal shunt placement and off-pump coronary revascularization for coronary artery stab wound. J Trauma 2001;50:133-135
- I., Botha J.B. Review of 1198 cases of penetrating cardiac trauma. Br J Surg 1997;84:1737-1740.
- T Arata K, Toda R, Yuda T, Yamauchi T, Moriyama Y. Traumatic cardiac tamponade due to the nail stabbing. Kyobu Geka 2000; 53(5): 405-7.
- Wall M.J., Jr, Mattox K.L., Chen C.D., Baldwin J.C. Acute management of complex cardiac injuries. J Trauma 1997;42:905-912
Öz
18 yaflnda erkek hasta sa¤ ventriküle penetre eden yaralanma sonras acil klini¤imize baflvurdu. Sa¤ ventriküle penetre eden yaralanmann 3 cm çapnda oldu¤u tespit edildi. Kanama, Foley sondann yaralanma bölgesinden sa¤ ventriküle do¤ru konulmas ve fliflirilmesi sayesinde kontrol altna alnd. Bu yaralanma sa¤ koroner arterin akut marjinal dalnn distal ksmn transekte etmiflti. Sa¤ ventrikül tamiri Foley sonda ve Medtronic Octopus Tissue Stabilization System kullanlarak baflarl bir flekilde gerçeklefltirildi. Sa¤ ventrikül üzerindeki yaralanma teflon destekli matris dikifllerle tamir edildi. Sa¤ koroner arterin distal akut marjinal dal ba¤land. Bu olgu sunumunda, uygulanan cerrahi yöntem anlatm eflli¤inde, kalbe acil cerrahi giriflimler konusu tartfllmaktadr.
Anahtar Kelimeler
Kaynakça
- Asensio JA, Berne JD, Demetriades D, et al: One hundred five penetrating cardiac injures: a 2-year prospective evaluation. J Trauma 1998; 44:1073
- Sabers CJ, Levy NT, Bowen JM: A 33-year old man with chest pain and fever. Mayo Clin Proc 1999; 74:181
- Fedalen P.A., Bard M.R., Piacentino V., 3rd, et al. Intraluminal shunt placement and off-pump coronary revascularization for coronary artery stab wound. J Trauma 2001;50:133-135
- I., Botha J.B. Review of 1198 cases of penetrating cardiac trauma. Br J Surg 1997;84:1737-1740.
- T Arata K, Toda R, Yuda T, Yamauchi T, Moriyama Y. Traumatic cardiac tamponade due to the nail stabbing. Kyobu Geka 2000; 53(5): 405-7.
- Wall M.J., Jr, Mattox K.L., Chen C.D., Baldwin J.C. Acute management of complex cardiac injuries. J Trauma 1997;42:905-912
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 1 Ocak 2009 |
| Yayımlandığı Sayı | Yıl 2010 Cilt: 13 Sayı: 1 |