title: [Hospital procedures and surgical management of patients with stab wounds to the heart].
abstract: Stab wounds of the heart are frequent: one case every two and a half months in our service. In our series of 9 cases, only three were alive at arrival to the emergency ward, but in all of these three, treatment was simple requiring only simple wound suture without extra-corporeal circulation. Based on our experience and the data in the literature, we propose cooperation between three teams for managing these patients: anaesthesists, echocardiographists and cardiothoracic surgeons. The patients are admitted directly to the cardiothoracic operating theatre where the echocardiographist and the surgery team take charge. The surgical procedure depends on the general situation and especially on whether or not the echocardiologist can confirm haemopericardium immediately. Every patient with possible wound to the heart or major vessels should be managed directly by the cardiothoracic surgery team before of formal diagnosis has been established.
authors.affiliation: Service de Chirurgie Cardio-Thoracique et Vasculaire, CHU de Morvan, Brest.
authors.forename: J C
authors.initials: JC
authors.lastname: Pillet
authors.forename: P
authors.initials: P
authors.lastname: Mondine
authors.forename: E
authors.initials: E
authors.lastname: Bezon
authors.forename: E
authors.initials: E
authors.lastname: Baccino
authors.forename: E
authors.initials: E
authors.lastname: Thomas
authors.forename: J
authors.initials: J
authors.lastname: Braesco
authors.forename: P
authors.initials: P
authors.lastname: Egreteau
authors.forename: J A
authors.initials: JA
authors.lastname: Barra
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006335:Heart Injuries / Q000401:mortality / Q000601:surgery*; D006757:Hospital Units; D006801:Humans; D008297:Male; D014951:Wounds, Stab / Q000401:mortality / Q000601:surgery*
vernacular_title: Prise en charge hospitalière et conduite chirurgicale dans les plaies du coeur par arme blanche.