Ramírez-Morín MA, Pacheco-Molina C, Vergara-Miranda H, Fonseca-Sada I, Guerrero-Arroyo AA, Vásquez-Fernández F, Muñoz-Maldonado GE

Language: Spanish
References: 13
Page: 51-57
PDF size: 2198.90 Kb.

ABSTRACT

The repair of heart wounds was considered impossible just over 100 years ago, currently managing a penetrating heart injury remains a challenge despite the considerable improvement in health care facilities. The patient who arrives alive at the hospital is usually in hemodynamically unstable or agonic, the key to a good result is the high index of suspected diagnosis, thus being the rapid recognition of the lesions, the urgent surgical intervention and the intensively monitored postoperative care, the three pillars of success in this type of conditions, so that unlike other forms of trauma, resuscitation has limited value and urgent surgical intervention is the only significant treatment. We present a case of penetrating cardiac trauma treated successfully by general surgeons in training, under the remote supervision of surgeons affiliated with the University Hospital “Dr. José Eleuterio González”.

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