Resuscitative Thoracotomy in Non-Trauma Patient in the Emergency Department

Yıl 2024, Cilt: 9 Sayı: 1, 32 - 36, 31.05.2024

Hüseyin Mutlu , Ekrem Taha Sert , Kamil Kokulu , Ramiz Yazıcı

Öz

Left ventricular free wall rupture (LVFWR) is a fearful and mortal complication of acute myocardial infarction, which typically presents with cardiac tamponade and cardiogenic shock. The treatment of LVFWR is surgery. We mentioned about a 53-year-old case of LVFWR who was admitted to the emergency department with the findings of cardiac tamponade and diagnosed and underwent resuscitative thoracotomy.

Anahtar Kelimeler

Free wall rupture, cardiac tamponade, resuscitative thoracotomy.

Acil Serviste Travma Dışı Hastada Resüsitatif Torakotomi

Öz

Sol ventrikül serbest duvar rüptürü (SVSDR), tipik olarak kardiyak tamponad ve kardiyojenik şok ile kendini gösteren akut miyokard enfarktüsünün korkutucu ve ölümcül bir komplikasyonudur. SVSDR ‘nin tedavisi cerrahidir. Bu yazıda, kardiyak tamponad bulguları ile acil servise başvuran ve tanı konularak resüsitatif torakotomi uygulanan 53 yaşında bir SVSDR olgusundan bahsedilmiştir.

Anahtar Kelimeler

Serbest duvar rüptürü, kardiyak tamponad, resüsitatif torakotomi

Kaynakça

• Cammalleri, V, & Romeo, F. (2020). Who Has Seen Patients With ST‐Segment–Elevation Myocardial Infarction? First Results From Italian Real‐World Coronavirus Disease 2019. Journal of the American Heart Association, 9(19), e017126.
• Chetcuti, S. (2000). Pericardial effusion. Marso SP, Griffin BP, Topol EJ (eds). Manual of Cardiovascular Medicine. 1st.
• Elhajj, A., & El Sayed, M. (2020). Factors associated with survival after emergency department thoracotomy for adult trauma patients in the United States. The Journal of Emergency Medicine, 59(2), 169-177.
• Fernandez-Moure, J., & Asensio, J. A. (2022). Transmediastinal and Thoracoabdominal Injuries: Damage Control and Surgical Techniques for Their Management. In Management of Chest Trauma: A Practical Guide (pp. 177-209). Cham: Springer International Publishing.
• Flounders, J. A. (2003, March). Cardiovascular emergencies: Pericardial effusion and cardiac tamponade. In Oncology Nursing Forum (Vol. 30, No. 2, pp. E48-E48). Oncology Nursing Society.
• Gong, F. F., & Maganti, K. (2021). Mechanical complications of acute myocardial infarction: A review.JAMA cardiology, 6(3), 341-349.
• Honda, S., & Yasuda, S. (2014). Trends in the clinical and pathological characteristics of cardiac rupture in patients with acute myocardial infarction over 35 years. Journal of the American Heart Association, 3(5), e000984.
• Hromalik Jr, L. R., & Tsai, P. I. (2023). Penetrating cardiac injury: A narrative review. Mediastinum, 7.
• Ito, M., & Nakamura, T. (2000). Surgical repair of acute left ventricular free wall rupture: Report of a case. Annals of Thoracic and Cardiovascular Surgery: Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia, 6(5), 332-335.
• McMullan, M. H., & Hindman, S. H. (2001). Surgical experience with left ventricular free wall rupture. The Annals of thoracic surgery, 71(6), 1894-1899.
• Usal, A., & Birand, A. (1995). Left ventricular free wall and interventricular septal rupture after acute myocardial infarction. The Journal of Cukurova University Medicine Faculty, 20, 55-63.
• Wehrens, X. H., & Doevendans, P. A. (2004). Cardiac rupture complicating myocardial infarction. Interna tional journal of cardiology, 95(2-3), 285-292.
• Yaginuma, G.,& Ottomo, M. (1997). Clinical results of left ventricular free wall rupture following acute myocardial infarction. Kyobu geka. The Japanese Journal of Thoracic Surgery, 50(10), 848-853.