Ulus Travma Acil Cerrahi Derg. 2015; 21(3): 228-230 | DOI: 10.5505/tjtes.2015.88393

Künt travmada penetran kardiyak yaralanma: Olgu sunumu

Yüksel Dereli¹, Murat Öncel^2
1NECMETTÝN ERBAKAN UNÝVERSÝTESÝ MERAM TIP FAKÜLTESÝ KALP VE DAMAR CERRAHÝSÝ AD KONYA
²SELÇUK ÜNÝVERSÝTESÝ TIP FAKÜLTESÝ GÖÐÜS CERRAHÝSÝ AD KONYA

Künt toraks travmasýna baðlý olarak nadiren kardiyak yaralanmalar görülebilmektedir. Kardiyak yaralanma genellikle hayatý tehdit eden durum yaratýr, acil cerrahi müdahele geretirir ve bu hastalarýn perioperetif dönemde dikkatli takip edilmesi gerekir. Klinik tablo, yaralanma þekli, hastaneye ulaþana dek geçen süre, kanama miktarý, kardiyak tamponad varlýðý veya ilave yaralanmalar gibi deðiþik faktörlere baðlýdýr. Bu yazýda, künt toraks travmasýna baðlý olarak penetran kardiyak yaralanma tespit edilen bir olgu sunuldu. Acil serviste araç içi trafik kazasý nedeniyle deðerlendirilen 61 yaþýndaki erkek olgunun akciðer grafisinde pulmoner kontüzyon, kot kýrýðý ve kardiyak tamponad saptandý. Acilen ameliyata alýnan hastada sað atriyum yaralanmasý gözlendi. Kardiyak yaralanma primer dikiþ tekniði ile onarýldý. Sonuç olarak, künt toraks travmalý hastalarda kardiyak yaralanma ihtimali yüksektir. Bu hastalarda dikkatli fiziksel inceleme, erken taný ve tedavi gereklidir.

Anahtar Kelimeler: Künt travma, penetran kardiyak yaralanma; toraks travmasý.

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Penetrating cardiac injury in blunt trauma: a case report

Yüksel Dereli¹, Murat Öncel^2
1Department Of Cardiovascular Surgery Meram Medicine Faculty Necmettin Erbakan University Konya
²Department Of Thoracic Surgery Medicine Faculty Selçuk University Konya

Cardiac injuries may rarely be observed due to blunt thoracic traumas. Cardiac injury often creates a life-threatening condition requiring urgent surgical intervention, and follow-up of these patients should be carefully carried out in the perioperative period. These injuries depend on various factors including clinical presentation, type of injury, the time that passes until the patient reaches the hospital, bleeding, cardiac tamponade, or additional injuries. This article aimed to report a case who suffered penetrating cardiac injury in blunt thoracic trauma. Evaluated in the emergency department due to a motor vehicle accident, the 61-year-old male patient’s chest x-ray revealed pulmonary contusion, rib fractures and cardiac tamponade. The patient was operated emergently. Right atrial injury was observed in the operation. The cardiac injury was repaired with primary suture technique. Cardiac injury in patients with blunt thoracic trauma is likely to be observed. In these patients, careful physical examination, early diagnosis, and treatment are very important.

Keywords: Blunt trauma, penetrating cardiac injury, thoracic trauma.

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