The role of thoracic computed tomography in penetrating cardiac injury
TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, vol.22, no.2, pp.423-426, 2014 (SCI-Expanded, Scopus, TRDizin)
- Publication Type: Article / Article
- Volume: 22 Issue: 2
- Publication Date: 2014
- Doi Number: 10.5606/tgkdc.dergisi.2014.8421
- Journal Name: TURK GOGUS KALP DAMAR CERRAHISI DERGISI-TURKISH JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, TR DİZİN (ULAKBİM)
- Page Numbers: pp.423-426
- Recep Tayyip Erdoğan University Affiliated: Yes
Abstract
A 39-year-old male who was admitted to emergency department due to cutting and penetrating stab wounds had a 2.5 cm stab wound at the intersection of the left midclavicular line and sixth intercostal space. There was no significant finding on posteroanterior chest X-ray. Thoracic computed tomography which was performed to eliminate thoracic or mediastinal injuries revealed pleural effusion reaching 1 cm in thickness in the pericardial space and a retrosternal hematoma. The patient underwent median sternotomy urgently. After hematoma was removed in the pericardial space, a 1.5 cm laceration along the anterior surface of the left ventricle was seen. Bleeding was managed with finger inserted into the left ventricle. The injury site was repaired primarily with pledgeted 3/0 polypropylene and 2/0 polyethylene polyester sutures. The patient recovered without any complication. Thoracic computed tomography is an important diagnostic tool for cutting and penetrating stab wounds towards the heart.