Penetrating Cardiac Injuries

Hasan Berat CİHAN, Erdal EGE, Öner GÜLCAN, Rıza TÜRKÖZ, *Oğuzhan YAŞAROĞLU

İnönü Üniversitesi Tıp Fakültesi, Göğüs Kalp ve Damar Cerrahisi Ana Bilim Dalı,
^*Malatya Devlet Hastanesi, Göğüs Kalp ve Damar Cerrahisi Bölümü

Late intervention is usually the cause of death in penetrating cardiac wounds. Treatment of heart wounds includes resuscitaiton, early surgical approach and repair of other system lesions. 23 cases with penetrating heart wound that undenvent surgery in last ten years in Malatya were reviewed retrospectively. Ali the patients were male and mean age was 26.3 years (range 14-50). The most frequent side of injury was right ventricule with 14 cases (%60.8) where left ventricule (6-%30.4) and right atrium (2-%8.8) came aftenvards. Surgery was applied in emergent conditions far ali cases. Primary repair had been the preferred technique. Hospitai mortality was 8.7% with 2 patients (öne cardiogenic shock and öne brain death). 21 cases were symptom free at their fallow up. Consequently, early and effective resuscitation and emergent surgical approach are the most important factors of survival in penetrating cardiac wounds.

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