Kim Sarah, Jou Jonathan, Cartolano Thomas, Macaluso Gregory, Lee Jane Kayle
Department of Surgery, University of Illinois at Chicago, Chicago, IL, United States of America.
Advocate Christ Medical Center, Oak Lawn, IL, United States of America.
Trauma Case Rep. 2025 Jul 10;58:101230. doi: 10.1016/j.tcr.2025.101230. eCollection 2025 Aug.
Penetrating cardiac injury is a highly lethal injury often resulting in ventricular injury. We present a case of a low-velocity penetrating cardiac injury with pericardial tamponade from a left ventricle myocardial defect managed operatively with a pericardial window that was converted to a median sternotomy with stapled control of the left ventricular injury. Patient was subsequently diagnosed with mitral valve anterior leaflet perforation with left thrombus managed medically with anticoagulation. Our treatment highlights several considerations during operative management of traumatic cardiac injury.
穿透性心脏损伤是一种极具致死性的损伤，常导致心室损伤。我们报告一例低速穿透性心脏损伤合并心包填塞的病例，该损伤源于左心室心肌缺损，最初通过心包开窗术进行手术治疗，随后转为正中胸骨切开术并使用吻合器控制左心室损伤。患者随后被诊断为二尖瓣前叶穿孔合并左心房血栓形成，采用抗凝药物进行内科治疗。我们的治疗过程凸显了创伤性心脏损伤手术管理过程中的几个需要考虑的要点。
