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...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2017-10-01
|
| Series: | Journal of the Formosan Medical Association |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S0929664617301821 |
| _version_ | 1811343502159642624 |
|---|---|
| author | Hsun-Yi Fu Mao Ting Yi-Chia Wang Hsi-Yu Yu |
| author_facet | Hsun-Yi Fu Mao Ting Yi-Chia Wang Hsi-Yu Yu |
| author_sort | Hsun-Yi Fu |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-13T19:31:23Z |
| format | Article |
| id | doaj.art-a249d3145ec24e8c99a08bcc255dba28 |
| institution | Directory Open Access Journal |
| issn | 0929-6646 |
| language | English |
| last_indexed | 2024-04-13T19:31:23Z |
| publishDate | 2017-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of the Formosan Medical Association |
| spelling | doaj.art-a249d3145ec24e8c99a08bcc255dba282022-12-22T02:33:11ZengElsevierJournal of the Formosan Medical Association0929-66462017-10-011161081581810.1016/j.jfma.2017.05.016Intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body: An image presentationHsun-Yi Fu0Mao Ting1Yi-Chia Wang2Hsi-Yu Yu3Department of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, TaiwanDepartment of Anesthesiology, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, TaiwanDepartment of Surgery, National Taiwan University Hospital and National Taiwan University, College of Medicine, Taipei, TaiwanA 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.http://www.sciencedirect.com/science/article/pii/S0929664617301821Transmediastinal gunshot wound (TMGW)Surgery |
| spellingShingle | Hsun-Yi Fu Mao Ting Yi-Chia Wang Hsi-Yu Yu Intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body: An image presentation Journal of the Formosan Medical Association Transmediastinal gunshot wound (TMGW) Surgery |
| title | Intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body: An image presentation |
| title_full | Intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body: An image presentation |
| title_fullStr | Intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body: An image presentation |
| title_full_unstemmed | Intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body: An image presentation |
| title_short | Intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body: An image presentation |
| title_sort | intracardiac foreign body resulting from a transmediastinal gunshot mimics an extracardiac foreign body an image presentation |
| topic | Transmediastinal gunshot wound (TMGW) Surgery |
| url | http://www.sciencedirect.com/science/article/pii/S0929664617301821 |
| work_keys_str_mv | AT hsunyifu intracardiacforeignbodyresultingfromatransmediastinalgunshotmimicsanextracardiacforeignbodyanimagepresentation AT maoting intracardiacforeignbodyresultingfromatransmediastinalgunshotmimicsanextracardiacforeignbodyanimagepresentation AT yichiawang intracardiacforeignbodyresultingfromatransmediastinalgunshotmimicsanextracardiacforeignbodyanimagepresentation AT hsiyuyu intracardiacforeignbodyresultingfromatransmediastinalgunshotmimicsanextracardiacforeignbodyanimagepresentation |