Current Treatment Approaches for Isolated Penetrating Cardiac Injuries

Öz

Penetrating cardiac injuries have a high mortality rate due to serious clinical outcomes. In this study, potential postoperative complications as well as the intraoperative evaluation of penetrating cardiac injuries are reviewed. Aim of this study was to investigate the patients who underwent surgical treatment for penetrating cardiac injury in our hospital. Between April 2016 and June 2017, 8 patients who underwent surgical intervention in the Cardiovascular Surgery Clinic due to penetrating cardiac injury were evaluated retrospectively. 4 patients underwent left anterolateral thoracotomy, 3 patients underwent sternotomy and 1 patient underwent surgery with right anterolateral thoracotomy. The pericardium was opened to discharge the tamponade. After bleeding was controlled, cardiac injuries were repaired primarily by using pericardial plaget with prolene sutures. In conclusion, cardiac injuries are more common in the younger age group, but traumas can be reduced by timely and appropriate medical intervention. In order to increase survival, we believe that the intervention rooms to be formed in the emergency room are fully equipped and the in-service training programs for the auxiliary health personnel are important factors.

Anahtar Kelimeler

• Emergency Surgery
• Isolated Cardiac Injury
• Penetrating

İzole Penetran Kardiyak Yaralanmalarda Güncel Tedavi Yaklaşımları

Öz

Penetran kardiyak yaralanmalar, ciddi klinik sonuçları sebebiyle yüksek mortalite oranına sahiptir. Çalışma da penetran kardiyak yaralanmaların operasyon anı değerlendirilmesinin yanın da operasyon sonrası olası komplikasyonlar gözden geçirilmiştir. Bu çalışmanın amacı, hastanemizde penetran kardiyak yaralanma nedeniyle cerrahi tedavi uygulanan hastaların araştırılmasıdır. Nisan 2016 ile Haziran 2017 tarihleri arasında penetran kalp yaralanması sebebiyle Kalp ve Damar Cerrahisi Kliniğinde cerrahi girişim uygulanan 8 olgu geriye dönük olarak incelendi. Acile başvuran 4 olguda sol anterolateral torakotomi,3 hastada sternotomi,1 hastada ise sağ anterolateral torakotomi ile cerrahi girişim uygulandı. Perikard açılarak tamponad boşaltıldı. Kanama kontrol altına alındıktan sonra kardiyak yaralanmalar prolen dikişlerle perikardiyal plaget kullanılarak primer olarak onarıldı. Sonuç olarak, kardiyak yaralanmalar genç yaş grubunda daha sık görülen, ancak zamanında ve uygun tıbbi girişimle mortalitenin düşürülebileceği travmalardır. Sağ kalımın artırılması için, acil serviste oluşturulacak girişim odalarının tam donanımlı olması ve yardımcı sağlık personeline hizmet içi eğitim programları uygulanmasının önemli faktörler olduğu kanısındayız.

Anahtar Kelimeler

• Acil Cerrahi
• İzole Kardiyak Yaralanma
• Penetran

Kaynakça

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