✦ LIBER ✦

Penetrating injuries of the heart

✍ Scribed by Rudra Rasaretnam; A. T. S. Paul

Publisher: John Wiley and Sons
Year: 1974
Tongue: English
Weight: 549 KB
Volume: 61
Category: Article
ISSN: 0007-1323
DOI: 10.1002/bjs.1800610815

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✦ Synopsis

Abstract

Thirty consecutive patients with penetrating cardiac wounds were treated surgically during a period of 6.5 years. There were 6 deaths, giving a survival rate of 80 per cent. Delay in undertaking repair was associated with a friable myocardium. Cardiac arrest, either before or during operation, occurred in 5 patients, 4 of whom subsequently died. Left ventricular wounds were associated with a higher mortality than those affecting the right ventricle. Perforating cardiac injuries had a mortality of 43 per cent in comparison with 13 per cent for penetrating injuries. Coexistent intraperitoneal injuries were present in 4 patients, 2 of whom underwent successful repair.

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