Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
Summary: Successful step-by-step treatment of a combined gunshot shrapnel injury of the brain, damaging the left middle cerebral artery (MCA) branches, and penetrating myocardium injury is discussed. Open brain and heart surgeries were performed. A left MCA pseudoaneurysm was formed postoperatively....
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2018-12-01
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| Series: | Trauma Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644018300347 |
| _version_ | 1818274100452261888 |
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| author | Andrii Sirko Ihor Kyrpa Vasyl Lazorishinets Mykola Zorin Yuri Cherednychenko Illya Plyushchev Dmytro Romanukha |
| author_facet | Andrii Sirko Ihor Kyrpa Vasyl Lazorishinets Mykola Zorin Yuri Cherednychenko Illya Plyushchev Dmytro Romanukha |
| author_sort | Andrii Sirko |
| collection | DOAJ |
| description | Summary: Successful step-by-step treatment of a combined gunshot shrapnel injury of the brain, damaging the left middle cerebral artery (MCA) branches, and penetrating myocardium injury is discussed. Open brain and heart surgeries were performed. A left MCA pseudoaneurysm was formed postoperatively. Endovascular exclusion of the left MCA pseudoaneurysm was performed using detachable micro coils. Finally, plastic reconstruction of the posttraumatic cranial vault defect was performed using a dynamic titanium plate.Treatment of severe combined gunshot shrapnel brain injury with formation of MCA pseudoaneurysm and a penetrating myocardium injury requires a multimodal approach involving related specialists (neurosurgeon, cardiosurgeon and interventional radiologist). Keywords: Gunshot wound, Craniocerebral shrapnel injury, Shrapnel injury of the heart, False aneurysm, Dissectional aneurysm, Middle cerebral artery |
| first_indexed | 2024-12-12T22:08:29Z |
| format | Article |
| id | doaj.art-1ae7161cebbe41d8b381c7bc4036ff4d |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-12T22:08:29Z |
| publishDate | 2018-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-1ae7161cebbe41d8b381c7bc4036ff4d2022-12-22T00:10:19ZengElsevierTrauma Case Reports2352-64402018-12-01181723Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysmAndrii Sirko0Ihor Kyrpa1Vasyl Lazorishinets2Mykola Zorin3Yuri Cherednychenko4Illya Plyushchev5Dmytro Romanukha6Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, Ukraine; Nervous Diseases and Neurosurgery Department, Postgraduate Education Division, Dnipropetrovsk Medical Academy, The Ministry of Healthcare of Ukraine, Dnipro, Ukraine; Corresponding author at: Cerebral Neurosurgery Department No. 2, Mechnikov Dnipropetrovsk Regional Clinical Hospital, 14 Soborna Square, Dnipro 49005, Ukraine.Mechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, UkraineAmosov National Institute of Cardiovascular Surgery, Kyiv, UkraineNervous Diseases and Neurosurgery Department, Postgraduate Education Division, Dnipropetrovsk Medical Academy, The Ministry of Healthcare of Ukraine, Dnipro, UkraineMechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, UkraineMechnikov Dnipropetrovsk Regional Clinical Hospital, Dnipro, UkraineNervous Diseases and Neurosurgery Department, Postgraduate Education Division, Dnipropetrovsk Medical Academy, The Ministry of Healthcare of Ukraine, Dnipro, UkraineSummary: Successful step-by-step treatment of a combined gunshot shrapnel injury of the brain, damaging the left middle cerebral artery (MCA) branches, and penetrating myocardium injury is discussed. Open brain and heart surgeries were performed. A left MCA pseudoaneurysm was formed postoperatively. Endovascular exclusion of the left MCA pseudoaneurysm was performed using detachable micro coils. Finally, plastic reconstruction of the posttraumatic cranial vault defect was performed using a dynamic titanium plate.Treatment of severe combined gunshot shrapnel brain injury with formation of MCA pseudoaneurysm and a penetrating myocardium injury requires a multimodal approach involving related specialists (neurosurgeon, cardiosurgeon and interventional radiologist). Keywords: Gunshot wound, Craniocerebral shrapnel injury, Shrapnel injury of the heart, False aneurysm, Dissectional aneurysm, Middle cerebral arteryhttp://www.sciencedirect.com/science/article/pii/S2352644018300347 |
| spellingShingle | Andrii Sirko Ihor Kyrpa Vasyl Lazorishinets Mykola Zorin Yuri Cherednychenko Illya Plyushchev Dmytro Romanukha Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm Trauma Case Reports |
| title | Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm |
| title_full | Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm |
| title_fullStr | Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm |
| title_full_unstemmed | Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm |
| title_short | Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm |
| title_sort | successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm |
| url | http://www.sciencedirect.com/science/article/pii/S2352644018300347 |
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