Intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body: An image presentation

A transmediastinal gunshot wound (TMGW) is one of the most severe traumatic injuries, with a high mortality rate. Prompt diagnosis and emergency surgical intervention with or without cardiopulmonary bypass are usually required to save lives. We report a particular case of TMGW in which the computed...

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Những tác giả chính: Hsun-Yi Fu, Mao Ting, Yi-Chia Wang, Hsi-Yu Yu
Định dạng: Bài viết
Ngôn ngữ:English
Được phát hành: Elsevier 2017-10-01
Loạt:Journal of the Formosan Medical Association
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Truy cập trực tuyến:http://www.sciencedirect.com/science/article/pii/S0929664617301821
Miêu tả
Tóm tắt:A transmediastinal gunshot wound (TMGW) is one of the most severe traumatic injuries, with a high mortality rate. Prompt diagnosis and emergency surgical intervention with or without cardiopulmonary bypass are usually required to save lives. We report a particular case of TMGW in which the computed tomography imaging findings indicated an extracardiac foreign body. However, intraoperative findings revealed an intracardiac foreign body, and urgent cardiopulmonary bypass was performed to remove the foreign body. We suggest that cardiopulmonary bypass should be on standby during an exploratory sternotomy for TMGW, when the trajectory of the bullet hints at a cardiac-penetrating injury according to imaging studies and the location of the bullet remains unaffected by the patient's postural changes.
số ISSN:0929-6646