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心脏团队方法在穿透性心脏创伤中的作用：病例报告及文献综述

The Role of Heart Team Approach in Penetrating Cardiac Trauma: Case Report and Review of the Literature.

作者信息

Cottini Marzia, Pergolini Amedeo, Ranocchi Federico, Musumeci Francesco

机构信息

Department of Heart and Vessels, Cardiac Surgery Unit and Heart Transplantation Center, "S. Camillo-Forlanini" Hospital, Rome, Italy.

出版信息

Braz J Cardiovasc Surg. 2018 Jan-Feb;33(1):99-103. doi: 10.21470/1678-9741-2017-0150.

DOI:10.21470/1678-9741-2017-0150
PMID:29617508
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5873782/
Abstract

Penetrating cardiac trauma has been increasing in clinical experience and is joined to important morbidity and mortality. A case of a 38-year-old female with history of postpartum depression was reported, admitted to our department for cardiac tamponade due to penetrating self-inflicted multiple stab wound of the chest complicated by rupture of anterior left ventricular wall and traumatic ventricular septal defect. Following the unstable hemodynamic instability, a combined therapeutic strategy was chosen: surgery and transcatheter implantation to correct free wall ventricle damage and traumatic ventricular septal defect, respectively.

摘要

穿透性心脏创伤在临床实践中呈上升趋势，且与严重的发病率和死亡率相关。本文报告了一例38岁有产后抑郁症病史的女性患者，因胸部多处自伤性刺伤导致心脏压塞入院，并发左心室前壁破裂和创伤性室间隔缺损。鉴于血流动力学不稳定，选择了联合治疗策略：分别通过手术和经导管植入来纠正游离壁心室损伤和创伤性室间隔缺损。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d1/5873782/22ac47547a65/rbccv-33-01-0099-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d1/5873782/23d7d91620f1/rbccv-33-01-0099-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d1/5873782/22ac47547a65/rbccv-33-01-0099-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d1/5873782/23d7d91620f1/rbccv-33-01-0099-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a7d1/5873782/22ac47547a65/rbccv-33-01-0099-g02.jpg

相似文献

1
The Role of Heart Team Approach in Penetrating Cardiac Trauma: Case Report and Review of the Literature.心脏团队方法在穿透性心脏创伤中的作用：病例报告及文献综述
Braz J Cardiovasc Surg. 2018 Jan-Feb;33(1):99-103. doi: 10.21470/1678-9741-2017-0150.
2
Stab Wound to the Right Ventricle With Creation of Ventricular Septal Defect Managed With an Endovascular Occlusive Patch.右心室刺伤伴室间隔缺损，采用血管内封堵器治疗。
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[Surgical treatment of heart injuries].[心脏损伤的外科治疗]
Klin Khir (1962). 1991(7):68-9.
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An unusual cause of penetrating cardiac injury in a child.儿童穿透性心脏损伤的一种罕见病因。
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Traumatic ventricular septal defect following a stab wound to the chest.胸部刺伤后创伤性室间隔缺损
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[Treatment of penetrating wounds of the heart].[心脏穿透伤的治疗]
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Traumatic acute pericardial tamponade.创伤性急性心包填塞
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本文引用的文献

1
Percutaneous Device Closure of a Post-Traumatic Ventricular Septal Rupture.经皮装置闭合创伤后室间隔破裂
JACC Cardiovasc Interv. 2016 Sep 12;9(17):1848-50. doi: 10.1016/j.jcin.2016.06.043.
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Severe Mechanical Hemolysis After Transcatheter Closure of a Traumatic Ventricular Septal Defect Using the Amplatzer Atrial Septal Occluder.使用Amplatzer房间隔封堵器经导管闭合创伤性室间隔缺损后发生的严重机械性溶血
Int Heart J. 2016 Jul 27;57(4):519-21. doi: 10.1536/ihj.15-407. Epub 2016 Jun 29.
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Delayed detection of a ventricular septal defect following penetrating trauma.
穿透性创伤后室间隔缺损的延迟检测
J La State Med Soc. 2014 Nov-Dec;166(6):239-41. Epub 2014 Dec 15.
4
Transcatheter closure of a traumatic ventricular septal defect using an Amplatzer™ atrial septal occluder device.经导管应用 Amplatzer™ 房间隔封堵器闭合创伤性室间隔缺损。
Catheter Cardiovasc Interv. 2013 Oct 1;82(4):569-73. doi: 10.1002/ccd.24739. Epub 2013 Mar 18.
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A penetrating heart injury resulting in ventricular septal defect.穿透性心脏损伤导致室间隔缺损。
Hellenic J Cardiol. 2011 Jan-Feb;52(1):71-4.
6
Simultaneous rupture of the mitral and tricuspid valves with left ventricular rupture caused by blunt trauma.钝性创伤导致二尖瓣和三尖瓣同时破裂并伴有左心室破裂。
Ann Thorac Surg. 2008 Oct;86(4):1371-3. doi: 10.1016/j.athoracsur.2008.04.007.
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Penetrating trauma to the mitral valve and ventricular septum.二尖瓣和室间隔穿透性创伤。
Tex Heart Inst J. 2006;33(3):392-5.
8
Transcatheter closure of a ventricular septal defect resulting from knife stabbing using the Amplatzer muscular VSD occluder.使用Amplatzer肌部室间隔缺损封堵器经导管闭合刀刺伤所致的室间隔缺损。
Catheter Cardiovasc Interv. 2006 Jul;68(1):153-6. doi: 10.1002/ccd.20718.
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Penetrating cardiac injury.穿透性心脏损伤
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10
STAB WOUND OF THE HEART WITH TAMPONADE AND INTERVENTRICULAR SEPTAL DEFECT. REPORT OF A CASE.心脏刺伤伴心包填塞及室间隔缺损。病例报告。
J Thorac Cardiovasc Surg. 1965 Mar;49:517-22.