Video-Assisted Thoracoscopy For Penetrating Cardiac Box Injury in Stable Patients
Rev. bras. cir. cardiovasc
;
36(4): 550-556, July-Aug. 2021. tab, graf
Artículo
en Inglés
| LILACS
| ID: biblio-1347152
ABSTRACT
Abstract Introduction: In high-volume trauma centers, especially in developing countries, penetrating cardiac box injuries are frequent. Although many aspects of penetrating chest injuries have been well established, video-assisted thoracoscopy is still finding its place in cardiac box trauma and algorithmic approaches are still lacking. The purpose of this manuscript is to provide a streamlined recommendation for penetrating cardiac box injury in stable patients. Methods: Literature review was carried out using PubMed/MEDLINE and Google Scholar databases to identify articles describing the characteristics and concepts of penetrating cardiac box trauma, including the characteristics of tamponade, cardiac ultrasound, indications and techniques of pericardial windows and, especially, the role of video-assisted thoracoscopy in stable patients. Results: Penetrating cardiac box injuries, whether by stab or gunshot wounds, require rapid surgical consultation. Unstable patients require immediate open surgery, however, determining which stable patients should be taken to thoracoscopic surgery is still controversial. Here, the classification of penetrating cardiac box injury used in Colombia is detailed, as well as the algorithmic approach to these types of trauma. Conclusion: Although open surgery is mandatory in unstable patients with penetrating cardiac box injuries, a more conservative and minimally invasive approach may be undertaken in stable patients. As rapid decision-making is critical in the trauma bay, surgeons working in high-volume trauma centers should expose themselves to thoracoscopy and always consider this possibility in the setting of penetrating cardiac box injuries in stable patients, always in the context of an experienced trauma team.
Texto completo:
Disponible
Índice:
LILACS (Américas)
Asunto principal:
Traumatismos Torácicos
/
Heridas por Arma de Fuego
/
Heridas Penetrantes
/
Lesiones Cardíacas
Tipo de estudio:
Estudio pronóstico
Límite:
Humanos
Idioma:
Inglés
Revista:
Rev. bras. cir. cardiovasc
Asunto de la revista:
Cardiología
/
Cirugía General
Año:
2021
Tipo del documento:
Artículo
País de afiliación:
Colombia
/
Países Bajos
/
Turquía
Institución/País de afiliación:
Central Military Hospital/CO
/
El Bosque University/CO
/
Fundaciόn Cardioinfantil/CO
/
Fundación Clínica Shaio/CO
/
Pontifical Bolivarian University/CO
/
Pontificia Universidad Javeriana/CO
/
University Medical Center Groningen/NL
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