p-ISSN: 1306-696x | e-ISSN: 1307-7945
Volume : 27 Issue : 6 Year : 2021

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Air gun injury to the pericardium in a 9-year-old boy. [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-17260 | DOI: 10.14744/tjtes.2021.17260

Air gun injury to the pericardium in a 9-year-old boy.

Robert Polak1, Josef Vodicka1, Vladislav Treska1, Jiri Siroky2, Jan Benes3
1Department of Surgery, Charles University, Faculty of Medicine in Pilsen, University Hospital Pilsen, Czech Republic, alej Svobody 80, 304 60 Pilsen, Czech Republic
2Department of Cardiac Surgery, University Hospital Pilsen, Czech Republic, alej Svobody 80, 304 60 Pilsen, Czech Republic
3Department of Anesthesiology and Intensive Care Medicine, Charles University, Faculty of Medicine in Pilsen, University Hospital Pilsen, Czech Republic, alej Svobody 80, 304 60 Pilsen, Czech Republic

The authors present the case of a 9-year-old boy who sustained a gunshot injury to the pericardium by an air gun. The penetrative wound to the pericardium was, according to the performed preoperative diagnostic methods, initially believed to be a penetrative wound into the cardiophrenic angle of the left pleural cavity. The stabilized patient was indicated for an extraction of the projectile via a left anterior minithoracotomy, during which the projectile was found and successfully removed from the pericardium. The limits of preoperative assessment, optimal treatment procedures, and surgical approaches in paediatric patients with gunshot injuries to the chest and heart are discussed.

Keywords: Air gun, penetrative injury, computed tomography, echocardiography, pericardiotomy



Corresponding Author: Josef Vodicka, Czechia (Czech Republic)
Manuscript Language: English