1/457. High-voltage injury resulting in permanent right heart dysfunction.This report describes the case of a 27-year-old man who survived a high-voltage chest injury that resulted in acute biventricular dysfunction. Although the prognosis is generally poor, complete recovery of cardiac function over days to weeks has been documented. This case is unique because the patient regained complete recovery of left ventricular function over 3 months, but had persistent right heart dysfunction on serial echocardiographic evaluations.- - - - - - - - - - ranking = 1keywords = injury (Clic here for more details about this article) |
2/457. Penetrating trauma to the tricuspid valve and ventricular septum: delayed repair.Penetrating cardiac trauma can result in a wide range of injuries to intracardiac structures. Missile injury, in particular, can cause damage in more than one cardiac chamber that may be difficult to identify at initial emergent operation. We report a case of late repair of traumatic ventricular septal defect and tricuspid valve perforation from gunshot wound. This case illustrates the importance of thorough examination of intracardiac anatomy during emergent and delayed repair for penetrating cardiac trauma.- - - - - - - - - - ranking = 2641.6790904597keywords = trauma, injury (Clic here for more details about this article) |
3/457. Isolated intrathoracic injury with air bag use.The restrained (air bag and seatbelt) driver of a vehicle involved in a high-speed motor-vehicle accident sustained a tear of the thoracic aorta with no signs of external injury. air bag deployment may mask significant internal injury, and a high index of suspicion is warranted in such situations.- - - - - - - - - - ranking = 1.2keywords = injury (Clic here for more details about this article) |
4/457. Mesenteric thrombosis after penetrating cardiac trauma.survival of the severely injured trauma victim through aggressive therapy results in new complications. We report the first instance of mesenteric thrombosis in association with penetrating cardiac trauma. Selective visceral angiography should be obtained early in a patient with persistent abdominal pain following a period of prolonged shock; such cases should have a more favorable prognosis if diagnosed early in view of the limited period of cardiac dysfunction and the younger age group.- - - - - - - - - - ranking = 2264.1249346798keywords = trauma (Clic here for more details about this article) |
5/457. An isolated ventricular septal defect as a consequence of penetrating injury to the heart.The authors describe, in a case report, an isolated defect of the ventricular septum developing due to a stab injury to the heart not requiring an emergency surgical intervention. Two months after the injury, the authors performed primary surgical correction of the defect.- - - - - - - - - - ranking = 1.2keywords = injury (Clic here for more details about this article) |
6/457. Recurrent pericardial effusion due to gunshot wound of the heart in a hemodynamically stable child--a case report.A 12-year-old girl presented with recurrent pericardial effusion due to firearm pellet injury to the left ventricle. The pellet was localized by two-dimensional echocardiography within the left ventricular apical wall. Since the patient was asymptomatic, left ventriculotomy was avoided to extract the pellet and only pericardial tube drainage was carried out. A slightly elevated blood lead level of the patient was alarming for potential subsequent lead poisoning due to retained pellets.- - - - - - - - - - ranking = 0.2keywords = injury (Clic here for more details about this article) |
7/457. Blunt traumatic rupture of the heart: case report and selected review.Cardiac rupture is a common complication following blunt thoracic trauma. Blunt traumatic rupture of the heart is a frequent cause of death. Cardiac injuries are rarely diagnosed early in the preoperative period. Most of them die at the scene of the accident and only a few survive to make it to the hospital alive. Rapid evaluation and expeditious management may increase the number of survivors. We present here an illustrative case report and selected review of literature regarding clinical presentation, mechanism of injury, investigation and treatment.- - - - - - - - - - ranking = 2264.3249346798keywords = trauma, injury (Clic here for more details about this article) |
8/457. Blunt cardiac rupture: the utility of emergency department ultrasound.BACKGROUND: rupture of the heart is usually a fatal injury in patients sustaining blunt trauma. Those arriving in the emergency department alive can be saved with prompt diagnosis and treatment. methods: We describe the cases of 4 consecutive patients with rupture of the free cardiac wall whom we treated at Grady Hospital. Two had a tear of the right ventricle, 1 had a tear of the right atrium, and 1 had two tears of the left atrium. All patients were involved in motor vehicle accidents. The diagnosis was made by ultrasound in 3 patients and during exploratory surgical intervention in the other. All tears were repaired primarily without the aid of cardiopulmonary bypass. RESULTS: Three of the patients survived, and 1 died. CONCLUSIONS: Rarely are patients with rupture of the free cardiac wall seen in an emergency department. The improvements in the prehospital care and the transportation may result in an increase in the numbers of such patients. physicians treating patients with blunt trauma must suspect the presence of cardiac rupture. Immediate use of ultrasonography will establish the diagnosis and prompt repair of the injury may improve overall survival.- - - - - - - - - - ranking = 755.10831155992keywords = trauma, injury (Clic here for more details about this article) |
9/457. commotio cordis: sudden cardiac death in athletes.commotio cordis due to blunt trauma to the precordium is a rare cause of death in young athletes, occurring less frequently than all of the other athletics-related deaths. Several measures, such as the use of safety baseballs and the use of chest protectors, can help protect young athletes from commotio cordis. In general, sudden cardiac death in athletes is receiving increasing attention from the public as a result of recent deaths of high-profile athletes. Sudden cardiac death, however, is rare, with an estimated 1 out of 200,000 high school athletes at risk each year. However, the personal, physiological, and cardiovascular benefits of athletics far outweigh the risks. Therefore, the message to parents is to allow their children to participate in athletics because the benefits far outweigh the risks.- - - - - - - - - - ranking = 377.35415577996keywords = trauma (Clic here for more details about this article) |
10/457. Septal branch right ventricular fistula: a complication in coronary artery snaring.We report a septal branch right ventricular fistula complicated after coronary snaring in coronary artery bypass surgery without aortic cross-clamping. The tip of the needle of the snaring suture is made blunt in order to decrease the risk of mechanical injury, but trauma to the septal branch is possible. This rare complication of snaring should be taken into consideration in performing aortic nonclamping coronary artery bypass surgery.- - - - - - - - - - ranking = 377.55415577996keywords = trauma, injury (Clic here for more details about this article) |
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