Management of cardiac trauma at the Vicente Corral Moscoso Hospital. 2015-2017

Authors

DOI:

https://doi.org/10.18537/RFCM.37.03.06

Keywords:

heart, myocardial infarction, chest pain, municipal hospitals

Abstract

ABSTRACT:

Introduction: cardiac injuries are challenging entities in emergency surgery, their high mortality forces to make prompt and precise decisions.

Methodology: There was a series of cases that analyzed the medical records of patients with cardiac trauma treated at the Trauma and Emergency Center of the Vicente Corral Moscoso Hospital (HVCM) during the period November 2015 - April 2017.

Objectives: to expose the management of this pathology, as well as its mortality in our environment

Results: A total of 18 patients with cardiac trauma, 12 due to penetrating injury, 2 iatrogenic and 4 contusions were treated during the analyzed period. The male sex was the most exposed to these injuries. Among the violence injuries, the most frequent was: 8 white weapon injuries and 4 gunshot. The incision most used for cardiac repair was the left lateral thoracotomy. The left ventricle was the most affected in 6 patients and the right ventricle in 5 patients. The mortality in this group of patients was 17%.

Conclusion: the mortality in these cases was 17%, the surgical approach was preferably by left lateral thoracotomy in 67%.

Keywords: myocardial infarction, chest pain, hearth, municipal hospitals.

Downloads

Download data is not yet available.

Downloads

Published

2019-12-24

Issue

Vol. 37 No. 3 (2019): Revista de la Facultad de Ciencias Médicas de la Universidad de Cuenca

Section

Clinical Case

License

Copyright © Autors.

You are free to:

Share — copy and redistribute the material in any medium or format
Adapt — remix, transform, and build upon the material for any purpose, even commercially.

Under the following conditions:

Attribution — You must give appropriate credit, provide a link to the licence, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licenser endorses you or your use.
  NonCommercial  — You may not use the material for commercial purposes.
  ShareAlike  — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the licence permits.