Cardiac damage related to shotgun injury Case report英文文献资料.docVIP

World Journal of Cardiovascular Diseases, 2012, 2, 148-150 WJCD /10.4236/wjcd.2012.23024 Published Online July 2012 (http://www.SciRP.org/journal/wjcd/) Cardiac damage related to shotgun injury: Case report Habib Cakir , Hasan Uncu, Cagatay Tuncel, Ahmet Cakallioglu, Ozsoyler Ibrahim * Department of Cardiovascular Surgery, Adana Numune Education and Training Hospital, Adana, Turkey * Email: habibcakir35@ Received 8 May 2012; revised 17 June 2012; accepted 28 June 2012 ABSTRACT lied to the left hemathorax. Due to intraabdominal bleeding, the patient was urgently managed with primary repair by the department of general surgery. The patient was transferred to a hospital with thoracic surgery clinic due to hemathorax. A thoraco-abdominal tomography both visualized the presence of pericardial fluid and de- tected the great number of pellets both in the lungs and in the myocardium. Depending on these signs, a cardiova- scular consultation was obtained. In physical examina- tion, tension arterial was 90/50 mm HG and the pulse rate was 110 beats/min. Also, there were many pellet holes in the left hemathorax posterior wall. No foreign body was detected in the ventricules during transthoracic echocardiography. The patient was urgently operated on when tamponade was detected and tension arterial de- creased. Following the median sternotomy, the pericar- dium was opened and tamponade became visible. Hemo- rrhagic fluid was drained. During the explorations, three pellet holes with no hemorrhage were detected on the left ventricule posterior wall. The holes were managed with biological tissue adhesives. Both hemathoraxes were opened thereafter. In both lungs there existed countless pellet holes with no active hemorrhage. Postoperatively no additional pathology was observed in lung graphy, transthoracic echocardiography, and thoraco-abdominal tomography (Figures 1-3). The patient