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Suspicion of penetrating cardiac injury: Curing or caring?


1 Surgical Intensive Care Unit, Trauma Center, Department of Anaesthesiology and Critical Care Medicine, Paris-Est Creteil University and Assistance-Publique Hopitaux de Paris, Henri Mondor University Hospital, Creteil, France
2 Department of Radiology and Medical Imaging, Paris-Est Créteil University and Assistance-Publique Hôpitaux de Paris, Henri Mondor University Hospital; Unité INSERM U955 équipe 18, IMRB, Créteil, France

Correspondence Address:
Mathieu Martin
Surgical Intensive Care Unit – Trauma Center, Department of Anaesthesiology and Critical Care Medicine, Henri Mondor University Hospital, avenue du Marechal de Lattre de Tassigny, 94010 Creteil
France
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_214_18

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Year : 2020  |  Volume : 23  |  Issue : 3  |  Page : 361-363

 

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Identifying penetrating cardiac injury in hemodynamically stable patients can be challenging especially when the patient has no signs of cardiac tamponade and no pericardial effusion identified on transthoracic echocardiography. In this case report, we discuss both penetrating cardiac injuries diagnosis algorithm and treatment strategies. At present, it is difficult to refer to general guidelines transposable from one center to another. We report the paramount importance of multidisciplinary management with experienced teams to face any possible pitfalls in traumatology especially in the context of penetrating cardiac injury.






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1 Surgical Intensive Care Unit, Trauma Center, Department of Anaesthesiology and Critical Care Medicine, Paris-Est Creteil University and Assistance-Publique Hopitaux de Paris, Henri Mondor University Hospital, Creteil, France
2 Department of Radiology and Medical Imaging, Paris-Est Créteil University and Assistance-Publique Hôpitaux de Paris, Henri Mondor University Hospital; Unité INSERM U955 équipe 18, IMRB, Créteil, France

Correspondence Address:
Mathieu Martin
Surgical Intensive Care Unit – Trauma Center, Department of Anaesthesiology and Critical Care Medicine, Henri Mondor University Hospital, avenue du Marechal de Lattre de Tassigny, 94010 Creteil
France
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.ACA_214_18

Rights and Permissions

Identifying penetrating cardiac injury in hemodynamically stable patients can be challenging especially when the patient has no signs of cardiac tamponade and no pericardial effusion identified on transthoracic echocardiography. In this case report, we discuss both penetrating cardiac injuries diagnosis algorithm and treatment strategies. At present, it is difficult to refer to general guidelines transposable from one center to another. We report the paramount importance of multidisciplinary management with experienced teams to face any possible pitfalls in traumatology especially in the context of penetrating cardiac injury.






[FULL TEXT] [PDF]*


        
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