Therapeutic approach in hemodynamically stable transmediastinal gunshot wounds

Transmediastinal gunshot wounds may result in damage to the heart, large blood vessels, esophagus or lung. In hemodynamically stable patients, diagnostic examinations have critical importance and the preferred therapies still have unresolved points. In this paper, we present our experience with five patients, three of whom were operated for transmediastinal gunshot wounds after diagnostic tests; all were hemodynamically stable. Before deciding on operation, diagnostic tests should be performed in hemodynamically stable patients with transmediastinal gunshot wounds.

Hemodinamisi stabil transmediastinal ateþli silah yaralanmalarýnda tedavi yaklaþýmý

Transmediastinal ateþli silah yaralanmalarý hasta hayatýný tehdit eden kalp, büyük damar, özofagus ve/veya akciðer gibi organlarýn yaralanmasý ile sonlanabilir. Hemodinamik açýdan stabil olan hastalarda, tanýya yönelik incelemeler ve seçilecek tedavi yöntemleri tartýþmalý noktalar içermektedir. Bu yazýda, hemodinamik açýdan stabil, transmediastinal ateþli silah yaralanmasý bulunan ve tanýsal testler sonucunda üçü ameliyata alýnan beþ olgudaki deneyimlerimizi sunduk. Ameliyata karar vermeden önce hemodinamik açýdan stabil transmediastinal ateþli silah yaralanmasý olan olgularda tanýsal testler sistematik olarak yapýlmalýdýr.