Penetrating injury to the heart requiring cardiopulmonary bypass: a case study.
Penetrating wounds to the heart represent a significant surgical challenge because of their unique clinical course and the need for emergent operative care. This operative care, which may include cardiopulmonary bypass (CPB), must be initiated in a prompt yet careful fashion to optimize outcome, while minimizing morbidity. Trauma, because of its unpredictable and non-routine nature, may present many challenges to the perfusionist in an attempt to anticipate surgical needs and requirements. In this case report, we describe the successful surgical repair of a cardiac nail gun injury, as well as strategies we feel are essential for the safe, successful, and timely application of emergent CPB.
Webb
D P
DP
Vanderbilt University School of Medicine, Department of Cardiac and Thoracic Surgery, Nashville, Tennessee, USA. david.webb@mcmail.vanderbilt.edu
Ramsey
J J
JJ
Dignan
R J
RJ
Drinkwater
D C
DC
D000328:Adult; D002315:Cardiopulmonary Bypass / Q000379:methods*; D006335:Heart Injuries / Q000601:surgery*; D006464:Hemoperfusion; D006801:Humans; D008297:Male; D014950:Wounds, Penetrating / Q000601:surgery*