Penetrating right ventricular injury following a single gunshot to the left flank in Iraq: a case report
A century ago, cardiac injuries usually resulted in death. However, despite all the advances in medicine, these injuries still have high mortality and morbidity rates. In the present case, we describe a patient with a bullet injury to the right ventricle who survived at our hospital despite the limi...
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| Language: | English |
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Korean Society of Traumatology
2023-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0073.pdf |
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| author | Zryan Salar Majeed Yad N. Othman Razhan K. Ali |
| author_facet | Zryan Salar Majeed Yad N. Othman Razhan K. Ali |
| author_sort | Zryan Salar Majeed |
| collection | DOAJ |
| description | A century ago, cardiac injuries usually resulted in death. However, despite all the advances in medicine, these injuries still have high mortality and morbidity rates. In the present case, we describe a patient with a bullet injury to the right ventricle who survived at our hospital despite the limitations of our center with regard to modalities and equipment. A 30-year-old man was brought to our emergency department with a bullet wound to his left flank. He was hemodynamically unstable. After only 8 minutes in the hospital and without further investigations he was rushed to the operating room. During laparotomy, a clot was visible in the left diaphragm, which dislodged and caused extensive bleeding. The decision was made to perform a sternotomy in the absence of a sternal saw. An oblique 8-cm injury to the right ventricle was discovered following rapid exploration. It was repaired without the need for cardiopulmonary bypass surgery. After a few days in the hospital, the patient was discharged home. In the event of a penetrating cardiac injury, rapid decision-making is crucial for survival. Whenever possible, the patient should be transferred to the operating room, as emergency department thoracotomies are associated with a high mortality rate. |
| format | Article |
| id | doaj-art-e7ca307ccc494b42b54691b3c7070ccb |
| institution | Kabale University |
| issn | 2799-4317 2287-1683 |
| language | English |
| publishDate | 2023-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-e7ca307ccc494b42b54691b3c7070ccb2025-01-16T05:40:00ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136325325710.20408/jti.2022.00731245Penetrating right ventricular injury following a single gunshot to the left flank in Iraq: a case reportZryan Salar Majeed0Yad N. Othman1Razhan K. Ali2 Department of Thoracic and Cardiovascular Surgery, Shar Teaching Hospital, As Sulaimaniyah, Iraq Department of Thoracic and Cardiovascular Surgery, Shar Teaching Hospital, As Sulaimaniyah, Iraq Department of Thoracic and Cardiovascular Surgery, Shar Teaching Hospital, As Sulaimaniyah, IraqA century ago, cardiac injuries usually resulted in death. However, despite all the advances in medicine, these injuries still have high mortality and morbidity rates. In the present case, we describe a patient with a bullet injury to the right ventricle who survived at our hospital despite the limitations of our center with regard to modalities and equipment. A 30-year-old man was brought to our emergency department with a bullet wound to his left flank. He was hemodynamically unstable. After only 8 minutes in the hospital and without further investigations he was rushed to the operating room. During laparotomy, a clot was visible in the left diaphragm, which dislodged and caused extensive bleeding. The decision was made to perform a sternotomy in the absence of a sternal saw. An oblique 8-cm injury to the right ventricle was discovered following rapid exploration. It was repaired without the need for cardiopulmonary bypass surgery. After a few days in the hospital, the patient was discharged home. In the event of a penetrating cardiac injury, rapid decision-making is crucial for survival. Whenever possible, the patient should be transferred to the operating room, as emergency department thoracotomies are associated with a high mortality rate.http://jtraumainj.org/upload/pdf/jti-2022-0073.pdfpenetrating cardiac injurygunshotheart ventriclesemergency department thoracotomycase reports |
| spellingShingle | Zryan Salar Majeed Yad N. Othman Razhan K. Ali Penetrating right ventricular injury following a single gunshot to the left flank in Iraq: a case report Journal of Trauma and Injury penetrating cardiac injury gunshot heart ventricles emergency department thoracotomy case reports |
| title | Penetrating right ventricular injury following a single gunshot to the left flank in Iraq: a case report |
| title_full | Penetrating right ventricular injury following a single gunshot to the left flank in Iraq: a case report |
| title_fullStr | Penetrating right ventricular injury following a single gunshot to the left flank in Iraq: a case report |
| title_full_unstemmed | Penetrating right ventricular injury following a single gunshot to the left flank in Iraq: a case report |
| title_short | Penetrating right ventricular injury following a single gunshot to the left flank in Iraq: a case report |
| title_sort | penetrating right ventricular injury following a single gunshot to the left flank in iraq a case report |
| topic | penetrating cardiac injury gunshot heart ventricles emergency department thoracotomy case reports |
| url | http://jtraumainj.org/upload/pdf/jti-2022-0073.pdf |
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