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Cardiovascular & Hematological Disorders-Drug Targets

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ISSN (Print): 1871-529X
ISSN (Online): 2212-4063

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Research Article

Complications in Patients with Cardiac Penetrating Trauma

Author(s): Mojtaba Ahmadinejad, Izadmehr Ahmadinejad*, Leila Haji Maghsoudi, Ali Soltanian and Mehdi Safari

Volume 21, Issue 4, 2021

Published on: 28 December, 2021

Page: [212 - 216] Pages: 5

DOI: 10.2174/1871529X21666211214155349

Price: $65

Abstract

Background: Cardiac penetrating trauma is a medical emergency that mostly affects young people. Based on the type of injury and associated complications, it can present as a surgical challenge and can lead to mortality.

Objective: The aim of this study is to evaluate the complications of penetrating heart trauma among patients referred to Shahid Madani Hospital.

Methods: In this retrospective descriptive study, the data of penetrating cardiac trauma patients referred to Shahid Madani hospital, Karaj, Tehran, from 2016-2019, were investigated. Information, including age, sex, cause of trauma, traumatized area and complications, was extracted and recorded in a data collection form. The data were evaluated statistically using SPSS v18.

Results: A total of 44 patients were included in the study, where the mean age of the patients was 25 years. 73.3% of these patients were men and 26.7% were women. Knife stab wounds were the most prevalent cause of the trauma, present in 93.3% of patients. 73.3% of the patients had cardiac tamponade and 20% had a pneumothorax. The right ventricle was the most common site of the injury in 46.7% of the patients. A mortality rate of 3.4% was reported in this study.

Conclusion: The results of this study showed that the highest penetrating heart rate trauma occurred among young people, and the most common cause of the trauma was a knife stab. The most common area of the injury was the right ventricular, and cardiac tamponade was the most common complication.

Keywords: Cardiac tamponade, penetrating heart trauma, trauma mechanism, mortality, surgical, ventricular.

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[1]
Catipović-Veselica, K.; Sincić, V.; Durijanĕk, J.; Kozmar, D.; Burić, D.; Juranić, B.; Kristek, J.; Amidzić, V. Penetrating heart wounds repaired without cardiopulmonary bypass. Evaluation and follow-up of recent war injuries. Tex. Heart Inst. J., 1993, 20(2), 94-98.
[PMID: 8334372]
[2]
Bellister, S.A.; Dennis, B.M.; Guillamondegui, O.D. Blunt and penetrating cardiac trauma. Surg. Clin. North Am., 2017, 97(5), 1065-1076.
[http://dx.doi.org/10.1016/j.suc.2017.06.012] [PMID: 28958358]
[3]
Alizadeh, R.; Aghsaeifard, Z.; Sadeghi, M.; Hassani, P.; Saberian, P. Effects of prehospital traige and diagnosis of ST segment elevation myocardial infarction on mortality rate. Int. J. Gen. Med., 2020, 13, 569-575.
[http://dx.doi.org/10.2147/IJGM.S260828] [PMID: 32943908]
[4]
Leite, L.; Gonçalves, L.; Nuno Vieira, D. Cardiac injuries caused by trauma: Review and case reports. J. Forensic Leg. Med., 2017, 52, 30-34.
[http://dx.doi.org/10.1016/j.jflm.2017.08.013] [PMID: 28850860]
[5]
Talving, P.; Demetriades, D. Cardiac trauma during teenage years. Pediatr. Clin. North Am., 2014, 61(1), 111-130.
[http://dx.doi.org/10.1016/j.pcl.2013.09.016] [PMID: 24267461]
[6]
Courtney, M.; Townsend, J.W.Jr. Sabiston textbook of surgery.” trauma and critical care; Sanders, 2001.
[7]
Embrey, R. Cardiac trauma. Thorac. Surg. Clin., 2007, 17(1), 87-93, vii.
[http://dx.doi.org/10.1016/j.thorsurg.2007.02.002] [PMID: 17650701]
[8]
Goldstein, A.L.; Soffer, D. Trauma to the heart: A review of presentation, diagnosis, and treatment. J. Trauma Acute Care Surg., 2017, 83(5), 911-916.
[http://dx.doi.org/10.1097/TA.0000000000001667] [PMID: 28777288]
[9]
Kong, V.Y.; Oosthuizen, G.; Sartorius, B.; Bruce, J.; Clarke, D.L. Penetrating cardiac injuries and the evolving management algorithm in the current era. J. Surg. Res., 2015, 193(2), 926-932.
[http://dx.doi.org/10.1016/j.jss.2014.09.027] [PMID: 25438953]
[10]
Alizadeh, R.; Aghsaie Fard, Z. Renal impairment and analgesia: From effectiveness to adverse effects. J. Cell. Physiol., 2019, 234(10), 17205-17211.
[http://dx.doi.org/10.1002/jcp.28506] [PMID: 30916404]
[11]
Kaljusto, M-L.; Skaga, N.O.; Pillgram-Larsen, J.; Tønnessen, T. Survival predictor for penetrating cardiac injury; a 10-year consecutive cohort from a scandinavian trauma center. Scand. J. Trauma Resusc. Emerg. Med., 2015, 23(1), 41.
[http://dx.doi.org/10.1186/s13049-015-0125-z] [PMID: 26032760]
[12]
Beiranvand, S.; Vahabi, S. Effect of local ropivacaine on hemodynamic responses in craniotomy patients. J. Invest. Surg., 2018, 31(6), 464-468.
[http://dx.doi.org/10.1080/08941939.2017.1355943] [PMID: 28829665]
[13]
Alizadeh, R.; Fard, Z.A. Renal effects of general anesthesia from old to recent studies. J. Cell. Physiol., 2019, 234(10), 16944-16952.
[http://dx.doi.org/10.1002/jcp.28407] [PMID: 30843210]
[14]
Antoniades, L.; Petrou, P.M.; Eftychiou, C.; Nicolaides, E. A penetrating heart injury resulting in ventricular septal defect. Hellenic J. Cardiol., 2011, 52(1), 71-74.
[PMID: 21292609]
[15]
Aryafar, M. A cross-sectional study on monitoring depth of anesthesia using brain function index among elective laparotomy patients. Intern. J. Surg. Open, 2020, 27, 98-102.
[http://dx.doi.org/10.1016/j.ijso.2020.11.004]
[16]
Isaza-Restrepo, A.; Bolívar-Sáenz, D.J.; Tarazona-Lara, M.; Tovar, J.R. Penetrating cardiac trauma: analysis of 240 cases from a hospital in Bogota, Colombia. World J. Emerg. Surg., 2017, 12, 26-26.
[http://dx.doi.org/10.1186/s13017-017-0138-1] [PMID: 28616061]
[17]
Malangoni, M.A.; McHenry, C.R.; Jacobs, D.G. Outcome of serious blunt cardiac injury. Surgery, 1994, 116(4), 628-632.
[PMID: 7940159]
[18]
Vahabi, S.; Abaszadeh, A.; Yari, F.; Yousefi, N. Postoperative pain, nausea and vomiting among pre- and postmenopausal women undergoing cystocele and rectocele repair surgery. Korean J. Anesthesiol., 2015, 68(6), 581-585.
[http://dx.doi.org/10.4097/kjae.2015.68.6.581] [PMID: 26634082]
[19]
Farzan, N.; Ghezelbash, P.; Hamidi, F.; Zeraatchi, A. Pulmonary thromboembolism with transthoracic ultrasound and computed tomography angiography. Clin. Respir. J., 2021, 15(12), 1337-1342.
[http://dx.doi.org/10.1111/crj.13437] [PMID: 34402595]
[20]
Agarwal, D.; Chandra, S. Challenges in the diagnosis of blunt cardiac injuries. Indian J. Surg., 2009, 71(5), 245-253.
[http://dx.doi.org/10.1007/s12262-009-0078-4] [PMID: 23133167]
[21]
Vahabi, S.; Rafieian, Y.; Abbas Zadeh, A. The effects of intraoperative esmolol infusion on the postoperative pain and hemodynamic stability after rhinoplasty. J. Invest. Surg., 2018, 31(2), 82-88.
[http://dx.doi.org/10.1080/08941939.2016.1278288] [PMID: 28375035]
[22]
Sybrandy, K.C.; Cramer, M.J.; Burgersdijk, C. Diagnosing cardiac contusion: old wisdom and new insights. Heart, 2003, 89(5), 485-489.
[http://dx.doi.org/10.1136/heart.89.5.485] [PMID: 12695446]
[23]
Vahabi, S.; Eatemadi, A. Effects of anesthetic and analgesic techniques on cancer metastasis. Biomed. Pharmacother., 2017, 87, 1-7.
[http://dx.doi.org/10.1016/j.biopha.2016.12.073] [PMID: 28040593]
[24]
Clarke, D.L.; Quazi, M.A.; Reddy, K.; Thomson, S.R. Emergency operation for penetrating thoracic trauma in a metropolitan surgical service in South Africa. J. Thorac. Cardiovasc. Surg., 2011, 142(3), 563-568.
[http://dx.doi.org/10.1016/j.jtcvs.2011.03.034] [PMID: 21843762]
[25]
Rahim Khan, H.A.; Gilani, J.A.; Pervez, M.B.; Hashmi, S.; Hasan, S. Penetrating cardiac trauma: A retrospective case series from Karachi. J. Pak. Med. Assoc., 2018, 68(8), 1285-1287.
[PMID: 30108408]
[26]
Noorian, S.E.; Mahmoodieh, M.; Dehghani, A. The outcomes of chest trauma; a 10 years survey. Majallah-i Danishkadah-i Pizishki-i Isfahan, 2011, 28(117), 1173-1179.
[27]
Ahmadinejad, M.; Afrasiabi, S.; Ahmadinejad, I. Biloma presentation after six months of thoracoabdominal trauma: a case report. J. Clin. Diagn. Res., 2018, 12(12)
[http://dx.doi.org/10.7860/JCDR/2018/25543.12407]
[28]
Ahmadinejad, M.; Pour, A.A.; Hosseini, P.K.; Hashemian, A.M.; Ahmadi, K. A rare case of hamartoma chest wall following trauma in a 42-year-old man. Med. Arh., 2016, 70(5), 398-400.
[http://dx.doi.org/10.5455/medarh.2016.70.398-400] [PMID: 27994306]
[29]
Fitzgerald, M.; Spencer, J.; Johnson, F.; Marasco, S.; Atkin, C.; Kossmann, T. Definitive management of acute cardiac tamponade secondary to blunt trauma. Emerg. Med. Australas., 2005, 17(5-6), 494-499.
[PMID: 16302943]

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