Abstract
Penetrating cardiac injury tends to generally be repaired without cardiopulmonary bypass in the operating room. We herein report the case of penetrating cardiac injury repaired using percutaneous cardiopulmonary support in an emergency room. A 57-year-old man attempted suicide by stabbing himself in the left anterior chest with a knife. Although the patient suffered cardiopulmonary arrest for 7 min in the ambulance, spontaneous circulation was restored following pericardiotomy through emergency left thoracotomy in the emergency room. To prevent coronary artery injury and control the massive bleeding, percutaneous cardiopulmonary support was instituted without systemic heparinization and the cardiac injury was repaired in the emergency room. The patient was then transferred to another hospital on day 46 for further rehabilitation. Percutaneous cardiopulmonary support might be helpful for treating critical patients in an emergency room, even in the case of trauma patients.
Similar content being viewed by others
References
JG Tyburski L Astra RF Wilson C Dente C Steffes (2000) ArticleTitleFactors affecting prognosis with penetrating wounds of the heart J Trauma 48 587–90 Occurrence Handle10780588 Occurrence Handle1:STN:280:DC%2BD3c3ktFGjsg%3D%3D
JM Baker FD Battistella E Kraut JT Owings DM Follette (1998) ArticleTitleUse of cardiopulmonary bypass to salvage patients with multiple-chamber heart wounds Arch Surg 133 855–60 Occurrence Handle9711959 Occurrence Handle10.1001/archsurg.133.8.855 Occurrence Handle1:STN:280:DyaK1cznsFOktQ%3D%3D
NC Campbell SR Thomson DJ Muckart CM Meumann I Van Middelkoop JB Botha (1997) ArticleTitleReview of 1198 cases of penetrating cardiac trauma Br J Surg 84 1737–40 Occurrence Handle9448629 Occurrence Handle10.1002/bjs.1800841225 Occurrence Handle1:STN:280:DyaK1c7htVSkuw%3D%3D
H Tanaka T Fujita Y Endoh K Kobayashi (1999) ArticleTitlePericardial tamponade type injury: a 17-year study in an urban trauma center in Japan Surg Today 29 1017–23 Occurrence Handle10554324 Occurrence Handle10.1007/s005950050638 Occurrence Handle1:STN:280:DC%2BD3c%2FitFOitQ%3D%3D
JR Macho RE Markison WP Schecter (1993) ArticleTitleCardiac stapling in the management of penetrating injuries of the heart: Rapid control of hemorrhage and decreased risk of personal contamination J Trauma 34 711–5 Occurrence Handle8497006 Occurrence Handle1:STN:280:DyaK3s3mslOjtw%3D%3D Occurrence Handle10.1097/00005373-199305000-00014
R Karmy-Jones MH Van Wijngaarden MK Talwar C Lovoulos (1996) ArticleTitleCardiopulmonary bypass for resuscitation after penetrating cardiac trauma Ann Thorac Surg 61 1244–5 Occurrence Handle8607694 Occurrence Handle10.1016/0003-4975(95)01036-X Occurrence Handle1:STN:280:DyaK287ot1ahsA%3D%3D
Y Asai M Yoshida Y Kurimoto JL Arnold (2003) ArticleTitleCase report: Penetrating cardiac injury secondary to a terrorism-related nail bomb explosion Prehosp Disast Med 18 249–52
R Lim IS Gill RT Temes CE Smith (2001) ArticleTitleThe use of adenosine for repair of penetrating cardiac injuries: a novel method Ann Thorac Surg 71 1714–5 Occurrence Handle11383843 Occurrence Handle10.1016/S0003-4975(01)02457-2 Occurrence Handle1:STN:280:DC%2BD3MzhtVCitQ%3D%3D
SW Downing MG Cardarelli J Sperling S Attar DC Wallace A Rodriguez et al. (2000) ArticleTitleHeparinless partial cardiopulmonary bypass for the repair of aortic trauma J Thorac Cardiovasc Surg 120 1104–9 Occurrence Handle11088034 Occurrence Handle10.1067/mtc.2000.111055 Occurrence Handle1:STN:280:DC%2BD3M%2FntF2msg%3D%3D
M Hase K Tsuchihashi N Fujii K Nishizato N Kokubu S Nara et al. (2005) ArticleTitleEarly defibrillation and circulatory support can provide better long-term outcomes through favorable neurological recovery in patients with out-of-hospital cardiac arrest of cardiac origin Circ J 69 1302–7 Occurrence Handle16247202 Occurrence Handle10.1253/circj.69.1302
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kurimoto, Y., Kano, H., Yama, N. et al. Out-of-Hospital Cardiopulmonary Arrest Due to Penetrating Cardiac Injury Treated by Percutaneous Cardiopulmonary Support in the Emergency Room: Report of a Case. Surg Today 37, 240–242 (2007). https://doi.org/10.1007/s00595-006-3373-8
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00595-006-3373-8