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:
CreadorEmailORCID
Reyna Sepúlveda, Francisco J.NO ESPECIFICADONO ESPECIFICADO
Cueto Ramos, Rubén GerardoNO ESPECIFICADONO ESPECIFICADO
Vásquez Fernández, FranciscoNO ESPECIFICADONO ESPECIFICADO
Hernández Guedea, Marco AntonioNO ESPECIFICADONO ESPECIFICADO
Guevara Charles, AsdrúbalNO ESPECIFICADONO ESPECIFICADO
Muñoz Maldonado, Gerardo Enriquecevam99@gmail.comorcid.org/0000-0002-8937-7909
Fecha del depósito: 15 Nov 2016 20:40
Última modificación: 05 Mar 2024 20:47
URI: http://eprints.uanl.mx/id/eprint/11698

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