Self-inflicted wound with a nail in the heart: case report
Adequate diagnosis and treatment of penetrating cardiac injury (PCI) represents a great challenge for the surgeon in the emergency department (ED) because of its high mortality. It is estimated that more than 90% of mortality happens before the patient reaches the hospital and only 15---50% of thos...
| Autores principales: | , , , , , |
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| Formato: | Artículo |
| Lenguaje: | inglés |
| Publicado: |
UANL. Facultad de Medicina
2016
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| Materias: | |
| Acceso en línea: | http://eprints.uanl.mx/11698/1/S1665579616300175_S300_en.pdf |
| _version_ | 1824413425380360192 |
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| author | Reyna Sepúlveda, Francisco J. Cueto Ramos, Rubén Gerardo Vásquez Fernández, Francisco Hernández Guedea, Marco Antonio Guevara Charles, Asdrúbal Muñoz Maldonado, Gerardo Enrique |
| author_facet | Reyna Sepúlveda, Francisco J. Cueto Ramos, Rubén Gerardo Vásquez Fernández, Francisco Hernández Guedea, Marco Antonio Guevara Charles, Asdrúbal Muñoz Maldonado, Gerardo Enrique |
| author_sort | Reyna Sepúlveda, Francisco J. |
| collection | Repositorio Institucional |
| description | Adequate diagnosis and treatment of penetrating cardiac injury (PCI) represents a great challenge for the surgeon in the emergency department (ED) because of its high mortality. It is estimated that more than 90% of mortality happens before the patient reaches the hospital
and only 15---50% of those will receive appropriate medical treatment. Case report: A 42-year-old hemodynamically stable male is brought to the ED with a protruding nail in his thorax. He is taken to the operating room (OR) where a medial sternotomy is
performed and an injury is found in the left ventricle. Cardiac muscle repair is performed with pericardial patch. Discussion: PCI from a suicide attempt secondary to a nail hammered into the chest is very rare and no previous reports were found by the author. Conclusion: The objects that penetrate cardiac structures must be removed in a proper OR with capable personnel and the resources available to perform procedures like an urgent
thoracotomy or sternotomy. |
| format | Article |
| id | eprints-11698 |
| institution | UANL |
| language | English |
| publishDate | 2016 |
| publisher | UANL. Facultad de Medicina |
| record_format | eprints |
| spelling | eprints-116982024-03-05T20:47:35Z http://eprints.uanl.mx/11698/ Self-inflicted wound with a nail in the heart: case report Reyna Sepúlveda, Francisco J. Cueto Ramos, Rubén Gerardo Vásquez Fernández, Francisco Hernández Guedea, Marco Antonio Guevara Charles, Asdrúbal Muñoz Maldonado, Gerardo Enrique RD Cirugía Adequate diagnosis and treatment of penetrating cardiac injury (PCI) represents a great challenge for the surgeon in the emergency department (ED) because of its high mortality. It is estimated that more than 90% of mortality happens before the patient reaches the hospital and only 15---50% of those will receive appropriate medical treatment. Case report: A 42-year-old hemodynamically stable male is brought to the ED with a protruding nail in his thorax. He is taken to the operating room (OR) where a medial sternotomy is performed and an injury is found in the left ventricle. Cardiac muscle repair is performed with pericardial patch. Discussion: PCI from a suicide attempt secondary to a nail hammered into the chest is very rare and no previous reports were found by the author. Conclusion: The objects that penetrate cardiac structures must be removed in a proper OR with capable personnel and the resources available to perform procedures like an urgent thoracotomy or sternotomy. UANL. Facultad de Medicina 2016 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/11698/1/S1665579616300175_S300_en.pdf http://eprints.uanl.mx/11698/1.haspreviewThumbnailVersion/S1665579616300175_S300_en.pdf Reyna Sepúlveda, Francisco J. y Cueto Ramos, Rubén Gerardo y Vásquez Fernández, Francisco y Hernández Guedea, Marco Antonio y Guevara Charles, Asdrúbal y Muñoz Maldonado, Gerardo Enrique (2016) Self-inflicted wound with a nail in the heart: case report. Medicina universitaria, 18 (70). pp. 20-22. ISSN 1665-5796 |
| spellingShingle | RD Cirugía Reyna Sepúlveda, Francisco J. Cueto Ramos, Rubén Gerardo Vásquez Fernández, Francisco Hernández Guedea, Marco Antonio Guevara Charles, Asdrúbal Muñoz Maldonado, Gerardo Enrique Self-inflicted wound with a nail in the heart: case report |
| thumbnail | https://rediab.uanl.mx/themes/sandal5/images/online.png |
| title | Self-inflicted wound with a nail in the heart: case report |
| title_full | Self-inflicted wound with a nail in the heart: case report |
| title_fullStr | Self-inflicted wound with a nail in the heart: case report |
| title_full_unstemmed | Self-inflicted wound with a nail in the heart: case report |
| title_short | Self-inflicted wound with a nail in the heart: case report |
| title_sort | self inflicted wound with a nail in the heart case report |
| topic | RD Cirugía |
| url | http://eprints.uanl.mx/11698/1/S1665579616300175_S300_en.pdf |
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