Self-inflicted wound with a nail in the heart: case report

Reyna Sepúlveda, Francisco J. y Cueto Ramos, Rubén Gerardo y Vásquez Fernández, Francisco y Hernández Guedea, Marco Antonio y Guevara Charles, Asdrúbal y Muñoz Maldonado, Gerardo Enrique (2016) Self-inflicted wound with a nail in the heart: case report. Medicina universitaria, 18 (70). pp. 20-22. ISSN 1665-5796

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Resumen

Adequate diagnosis and treatment of penetrating cardiac injury (PCI) represents a great challenge for the surgeon in the emergency department (ED) because of its high mortality. It is estimated that more than 90% of mortality happens before the patient reaches the hospital and only 15---50% of those will receive appropriate medical treatment. Case report: A 42-year-old hemodynamically stable male is brought to the ED with a protruding nail in his thorax. He is taken to the operating room (OR) where a medial sternotomy is performed and an injury is found in the left ventricle. Cardiac muscle repair is performed with pericardial patch. Discussion: PCI from a suicide attempt secondary to a nail hammered into the chest is very rare and no previous reports were found by the author. Conclusion: The objects that penetrate cardiac structures must be removed in a proper OR with capable personnel and the resources available to perform procedures like an urgent thoracotomy or sternotomy.

Tipo de elemento:

Article

Palabras claves no controlados:

Penetrating; Cardiac; Injury

Materias:

R Medicina > RD Cirugía

Divisiones:

Medicina

Usuario depositante:

Editor Repositorio

Creadores:

Creador	Email	ORCID
Reyna Sepúlveda, Francisco J.	NO ESPECIFICADO	NO ESPECIFICADO
Cueto Ramos, Rubén Gerardo	NO ESPECIFICADO	NO ESPECIFICADO
Vásquez Fernández, Francisco	NO ESPECIFICADO	NO ESPECIFICADO
Hernández Guedea, Marco Antonio	NO ESPECIFICADO	NO ESPECIFICADO
Guevara Charles, Asdrúbal	NO ESPECIFICADO	NO ESPECIFICADO
Muñoz Maldonado, Gerardo Enrique	cevam99@gmail.com	orcid.org/0000-0002-8937-7909