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

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 pre-operative 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 through a left anterior minithoracotomy, during which the projectile was found and successfully removed from the pericardium. The limits of pre-operative assessment, optimal treatment procedures, and surgical approaches in pediatric patients with gunshot injuries to the chest and heart are discussed.

Dokuz yaþýndaki bir çocukta perikardda hava tabancasý yaralanmasý

Bu yazýda, hava tabancasý ile perikarda kurþun isabet eden dokuz yaþýndaki bir erkek çocuðu olgusu sunuldu. Perikarddaki penetran yaralanmanýn, ameliyat öncesi uygulanan taný yöntemlerine göre, baþlangýçta sol plevral boþluðun kardiyofrenik açýsýna nüfuz eden bir yaralanma olduðuna inanýlýyordu. Stabilize edilen hastada, sol anterior minitorakotomi yoluyla mermi bulunarak perikarddan baþarýyla çýkarýlmýþtýr. Burada, göðüs ve kalpte ateþli silah yaralanmasý olan pediatrik hastalarda ameliyat öncesi deðerlendirmenin sýnýrlarý, optimal tedavi prosedürleri ve cerrahi yaklaþýmlar tartýþýlmýþtýr.