Cardiac and great vessel injuries after chest trauma: our 10-year experience

Oz, Kursad; Onan, Burak; Onan, Ismihan Selen; Demirhan, Recep

Cardiac and great vessel injuries after chest trauma: our 10-year experience

Burak ONAN, (Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul, Türkiye)

Recep DEMİRHAN, (Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul, Türkiye)

Kürşad ÖZ, (Dr. Lütfi Kırdar Kartal Eğitim ve Araştırma Hastanesi, Göğüs Cerrahisi Kliniği, İstanbul, Türkiye)

İsmihan Selen ONAN (Gözteğe Eğitim ve Araştırma Hastanesi, Kalp Damar Cerrahı, İstanbul, Türkiye)

Ulusal Travma ve Acil Cerrahi Dergisi

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Yıl: 2011 Cilt: 17 Sayı: 5 Sayfa Aralığı: 423 - 429 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

Cardiac and great vessel injuries after chest trauma: our 10-year experience

Öz:

AMAÇ Göğüs travmasına bağlı kardiyovasküler yaralanmaları yüksek bir mortaliteye sahiptir. Bu çalışmanın amacı, göğüs travması sonrasında gelişen kalp ve büyük damar yaralanmalarının tedavisinde tecrübemizi sunmaktır. GEREÇ VE YÖNTEM On yıllık süre içinde 104 hasta kalp (n=94) ve büyük damar (n=10) yaralanmaları ile başvurdu. Bu hastalarda demografik bilgiler, yaralanma sebepleri, yaralanma yerleri, ek yaralanmalar, cerrahi girişimin zamanlaması, cerrahi yaklaşım ve klinik sonuçlar gözden geçirildi. BULGULAR Göğüs travması sonrasında 88 (%84,6) erkek hasta başvurdu. Tüm hastaların ortalama yaşı 32,5±8,2 yıl (dağılım 12 ile 76 yaş) idi. Penetran yaralanmalar (%62,5) en sık sebep olarak karşımıza çıktı. Bigisayarlı tomografi genel olarak uygulanırken, durumu stabil olguların bir bölümüne ekokardiyografi yapıldı. Kalp yaralanmalarında sıklıkla sağ ventrikül (%58,5) etkilendi. Büyük damar yaralanmaları subklaviyen ven (6), innominate ven (1) ve desendan aorta (2) da tespit edildi. Hastaların %75,9?una acil servise başvurduktan sonra erken dönemde ameliyat yapıldı. Torakotomi hastaların %89,5?inde uygulandı. Cerrahi mortalite penetran yaralanmalarda anlamlı derecede yüksekti (p=0,01). SONUÇ Klinisyenler acil servise göğüs travması ile başvuran her hastada kalp ve damar yaralanması olasılığını düşünmelidir. Bilgisayarlı tomografi ve ekokardiyografi göğüs travmasının klinik takibinde faydalıdır. Cerrahi girişimin zamanlaması hastaların hemodinamik durumlarına bağlıdır ve multidisipliner yaklaşım hastaların prognozunu iyileştirir.

Anahtar Kelime:

Konular: Cerrahi

Göğüs travması sonrasında gelişen kalp ve büyük damar yaralanmaları: 10 yıllık deneyimimiz

Öz:

BACKGROUND Cardiovascular injuries after trauma present with high mortality. The aim of the study was to present our experience in cardiac and great vessel injuries after chest trauma. METHODS During the 10-year period, 104 patients with cardiac (n=94) and great vessel (n=10) injuries presented to our hospital. The demographic data, mechanism of injury, location of injury, other associated injuries, timing of surgical intervention, surgical approach, and clinical outcome were reviewed. RESULTS Eighty-eight (84.6%) males presented after chest trauma. The mean age of the patients was 32.5±8.2 years (range: 12-76). Penetrating injuries (62.5%) were the most common cause of trauma. Computed tomography was performed in most cases and echocardiography was used in some stable cases. Cardiac injuries mostly included the right ventricle (58.5%). Great vessel injuries involved the subclavian vein in 6, innominate vein in 1, vena cava in 1, and descending aorta in 2 patients. Early operations after admission to the emergency were performed in 75.9% of the patients. Thoracotomy was performed in 89.5% of the patients. Operative mortality was significantly high in penetrating injuries (p=0.01).CONCLUSION Clinicians should suspect cardiac and great vessel trauma in every patient presenting to the emergency unit after chest trauma. Computed tomography and echocardiography are beneficial in the management of chest trauma. Operative timing depends on hemodynamic status, and a multidisciplinary team approach improves the patient?s prognosis.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	Onan B, Demirhan R, Oz K, Onan I (2011). Cardiac and great vessel injuries after chest trauma: our 10-year experience. , 423 - 429.
Chicago	Onan Burak,Demirhan Recep,Oz Kursad,Onan Ismihan Selen Cardiac and great vessel injuries after chest trauma: our 10-year experience. (2011): 423 - 429.
MLA	Onan Burak,Demirhan Recep,Oz Kursad,Onan Ismihan Selen Cardiac and great vessel injuries after chest trauma: our 10-year experience. , 2011, ss.423 - 429.
AMA	Onan B,Demirhan R,Oz K,Onan I Cardiac and great vessel injuries after chest trauma: our 10-year experience. . 2011; 423 - 429.
Vancouver	Onan B,Demirhan R,Oz K,Onan I Cardiac and great vessel injuries after chest trauma: our 10-year experience. . 2011; 423 - 429.
IEEE	Onan B,Demirhan R,Oz K,Onan I "Cardiac and great vessel injuries after chest trauma: our 10-year experience." , ss.423 - 429, 2011.
ISNAD	Onan, Burak vd. "Cardiac and great vessel injuries after chest trauma: our 10-year experience". (2011), 423-429.

APA	Onan B, Demirhan R, Oz K, Onan I (2011). Cardiac and great vessel injuries after chest trauma: our 10-year experience. Ulusal Travma ve Acil Cerrahi Dergisi, 17(5), 423 - 429.
Chicago	Onan Burak,Demirhan Recep,Oz Kursad,Onan Ismihan Selen Cardiac and great vessel injuries after chest trauma: our 10-year experience. Ulusal Travma ve Acil Cerrahi Dergisi 17, no.5 (2011): 423 - 429.
MLA	Onan Burak,Demirhan Recep,Oz Kursad,Onan Ismihan Selen Cardiac and great vessel injuries after chest trauma: our 10-year experience. Ulusal Travma ve Acil Cerrahi Dergisi, vol.17, no.5, 2011, ss.423 - 429.
AMA	Onan B,Demirhan R,Oz K,Onan I Cardiac and great vessel injuries after chest trauma: our 10-year experience. Ulusal Travma ve Acil Cerrahi Dergisi. 2011; 17(5): 423 - 429.
Vancouver	Onan B,Demirhan R,Oz K,Onan I Cardiac and great vessel injuries after chest trauma: our 10-year experience. Ulusal Travma ve Acil Cerrahi Dergisi. 2011; 17(5): 423 - 429.
IEEE	Onan B,Demirhan R,Oz K,Onan I "Cardiac and great vessel injuries after chest trauma: our 10-year experience." Ulusal Travma ve Acil Cerrahi Dergisi, 17, ss.423 - 429, 2011.
ISNAD	Onan, Burak vd. "Cardiac and great vessel injuries after chest trauma: our 10-year experience". Ulusal Travma ve Acil Cerrahi Dergisi 17/5 (2011), 423-429.