Authors: B. Kútna 1; J. Schützner 1; J. Šimonek 1; M. Švorcová 1; I. Miler 2; D. Myšíková 1; R. Lischke 1 Authors‘ workplace: III. chirurgická klinika 1. LF Univerzity Karlovy a FN Motol, Praha přednosta: prof. MUDr. R. Lischke, PhD 1; Klinika kardiovaskulární chirurgie 2. LF Univerzity Karlovy a FN Motol, Praha přednosta: doc. MUDr. V. Rohn, CSc. 2 Published in: Rozhl. Chir., 2017, roč. 96, č. 12, s. 510-513. Category: Case Report
Introduction: Gunshot thoracic injuries are not very common in our geographical location, occurring most frequently in the context of criminal activity or as a result of suicidal behavior.
Case report: The authors report the case of a patient who, in a suicidal attempt, caused himself a combined penetrating gunshot injury of the chest with laceration of the lung and a heart gunshot hole, which was diagnosed peroperatively.
Conclusion: Therapy of gunshot injuries in the era of modern medicine should be comprehensive in multidisciplinary cooperation.
Key words: thoracic trauma − gunshot injury − lung injury − heart injury − thoracotomy
1. Látal J, Haruštiak S. Úrazy hrudníka. In: Haruštiak a kol. Princípy chirurgie II. 1. vydanie, Bratislava, SAP 2010 : 774–790.
1. Inci I, Ozçelik C, Taçyildiz I, et al. Penetrating chest injuries: unusually high incidence of high-velocity gunshot wounds in civilian practice. World J Surg 1998;22 : 438−42.
2. Hunt PA, Greaves I, Owens WA. Emergency thoracotomy in thoracic trauma-a review. Injury. 2006;37 : 1−19.
3. Campbell NC, Thomson SR, Muckart DJ, et al. Review of 1198 cases of penetrating cardiac trauma. Br J Surg 1997;84 : 1737−40.
4. Tyburski JG, Astra L, Wilson RF, et al. Factors affecting prognosis with penetrating wounds of the heart. J Trauma 2000;48 : 587−90,discussion 590−1.
5. Keel M, Meier C. Chest injuries − what is new? Curr Opin Crit Care 2007;13 : 674−9.
6. Brown J, Grover FL .Trauma to the heart. Chest Surg Clin N Am 1997;7 : 325−41.
7. Buckman RF Jr, Badellino MM, Mauro LH, et al. Penetrating cardiac wounds: prospective study of factors influencing initial resuscitation. J Trauma 1993;34 : 717−25,discussion 725−7.
8. Demetriades D, Velmahos GC. Penetrating injuries of the chest: indications for operation. Scandinavian Journal of Surgery 2002;91 : 41–5.
9. Ganguly T, Kar SK, Sen Ch, et al. Thoracic gunshot wound: A report of 3 cases and review of management. Journal of Universal Surgery 2015; Vol. 3 No. 1 : 1−5.
10. Symbas PN, Harlaftis N, Waldo WJ. Penetrating cardiac wounds: A comparison of different therapeutic methods. Ann Surg 1976;183 : 377−81.
11. Shahani R. Penetrating chest trauma treatment & management. Medscape 2015. Available from: http://emedicine.medscape.com/article/425698-overview.
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