Videothoracoscopic approach to the extraction of a cardiac retainer missile
The presence of foreign bodies (FB) retained in the heart or pericardium secondary to penetrating trauma in stable patients is a very rare event and its management is controversial. We present the case of a 19-year-old patient who was admitted to our trauma center hemodynamically stable because of t...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Elsevier
2021-06-01
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| Series: | Trauma Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2352644021000947 |
| _version_ | 1829512563175456768 |
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| author | Carlos Andres Muñoz Jairo González Quitian Alberto García Carlos Alberto Ordoñez Víctor Rafael Buchelli |
| author_facet | Carlos Andres Muñoz Jairo González Quitian Alberto García Carlos Alberto Ordoñez Víctor Rafael Buchelli |
| author_sort | Carlos Andres Muñoz |
| collection | DOAJ |
| description | The presence of foreign bodies (FB) retained in the heart or pericardium secondary to penetrating trauma in stable patients is a very rare event and its management is controversial. We present the case of a 19-year-old patient who was admitted to our trauma center hemodynamically stable because of two gunshot wounds in the lumbar region. A chest x-ray (CXR) revealed a blurred foreign body over the right heart chamber, thoracoabdominal computed tomography (CT) scan showed a free projectile over the left atrial wall, and transesophageal echocardiogram (TEE) showed a hyperrefringent pericardial sac image near the right ventricle. Finally, the patient went to surgery where a missile was removed from the pericardial sac by video-assisted thoracoscopic surgery (VATS). |
| first_indexed | 2024-12-16T12:43:37Z |
| format | Article |
| id | doaj.art-9affaaae70f14daba9b78465c9b9672f |
| institution | Directory Open Access Journal |
| issn | 2352-6440 |
| language | English |
| last_indexed | 2024-12-16T12:43:37Z |
| publishDate | 2021-06-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Trauma Case Reports |
| spelling | doaj.art-9affaaae70f14daba9b78465c9b9672f2022-12-21T22:31:21ZengElsevierTrauma Case Reports2352-64402021-06-0133100489Videothoracoscopic approach to the extraction of a cardiac retainer missileCarlos Andres Muñoz0Jairo González Quitian1Alberto García2Carlos Alberto Ordoñez3Víctor Rafael Buchelli4Department of Trauma and Emergency Surgery, Hospital Universitario del Valle – Fundación Valle del Lili, Cali, Colombia; Corresponding author at: Department of Trauma and Emergency Surgery, Hospital Universitario del Valle, 4th floor, calle 5°#36-08.Department of General Surgery, Universidad del Valle, Hospital Universitario del Valle, Cali, ColombiaDepartment of Trauma and Emergency Surgery, Hospital Universitario del Valle – Fundación Valle del Lili, Cali, ColombiaDepartment of Trauma and Emergency Surgery, Hospital Universitario del Valle – Fundación Valle del Lili, Cali, ColombiaDepartment of Cardiovascular Surgery, Centro Médico Imbanaco – Clínica Farallones, Cali, ColombiaThe presence of foreign bodies (FB) retained in the heart or pericardium secondary to penetrating trauma in stable patients is a very rare event and its management is controversial. We present the case of a 19-year-old patient who was admitted to our trauma center hemodynamically stable because of two gunshot wounds in the lumbar region. A chest x-ray (CXR) revealed a blurred foreign body over the right heart chamber, thoracoabdominal computed tomography (CT) scan showed a free projectile over the left atrial wall, and transesophageal echocardiogram (TEE) showed a hyperrefringent pericardial sac image near the right ventricle. Finally, the patient went to surgery where a missile was removed from the pericardial sac by video-assisted thoracoscopic surgery (VATS).http://www.sciencedirect.com/science/article/pii/S2352644021000947Cardiac injuryCardiac missilesBullet embolusPericardium injury |
| spellingShingle | Carlos Andres Muñoz Jairo González Quitian Alberto García Carlos Alberto Ordoñez Víctor Rafael Buchelli Videothoracoscopic approach to the extraction of a cardiac retainer missile Trauma Case Reports Cardiac injury Cardiac missiles Bullet embolus Pericardium injury |
| title | Videothoracoscopic approach to the extraction of a cardiac retainer missile |
| title_full | Videothoracoscopic approach to the extraction of a cardiac retainer missile |
| title_fullStr | Videothoracoscopic approach to the extraction of a cardiac retainer missile |
| title_full_unstemmed | Videothoracoscopic approach to the extraction of a cardiac retainer missile |
| title_short | Videothoracoscopic approach to the extraction of a cardiac retainer missile |
| title_sort | videothoracoscopic approach to the extraction of a cardiac retainer missile |
| topic | Cardiac injury Cardiac missiles Bullet embolus Pericardium injury |
| url | http://www.sciencedirect.com/science/article/pii/S2352644021000947 |
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