Resumo
This is a case report about a seven year-old child who arrived at Emergency Department of Hospital da Restauração with gunshot wound on precordial area and clinical signs of cardiac tamponade. The roentgenogram showed 27 retained pellets in cardiac area. Thoracotomy was performed and repaired a cardiac wound in right ventricule. The patient developed conduction disturbance and valvar defect, but was discharged on the tenth postoperative day. Diagnosis, treatment and complications of retained projectiles are discussed.
Cardiac wound; Cardiac missiles
Cardiac wound; Cardiac missiles
RELATOS DE CASO
Traumatismo cardíaco com retenção de corpo estranho em criança de sete anos
Cardiac trauma with retained pellets in a seven year-old child
Fernando Antonio Campelo Spencer Netto, ACBC-PEI; Paulo Sérgio Vieira MeloI; Olavo Raimundo dos Santos FilhoII
ICirurgião Geral da Emergência de Adultos do Hospital da Restauração
IIResidente de Cirurgia Geral SUS/PE
Endereço para correspondência Endereço para correspondência: Dr. Fernando Antônio C. Spencer Netto Rua Almirante Tamadaré, 137/301 51030-090 - Recife - PE
ABSTRACT
This is a case report about a seven year-old child who arrived at Emergency Department of Hospital da Restauração with gunshot wound on precordial area and clinical signs of cardiac tamponade. The roentgenogram showed 27 retained pellets in cardiac area. Thoracotomy was performed and repaired a cardiac wound in right ventricule. The patient developed conduction disturbance and valvar defect, but was discharged on the tenth postoperative day. Diagnosis, treatment and complications of retained projectiles are discussed.
Key words: Cardiac wound; Cardiac missiles.
Texto completo disponível apenas em PDF.
Full text available only in PDF format.
Recebido em 11/11/97
Aceito para publicação em 14/5/98
Trabalho realizado na Emergência de Adultos do Hospital da Restauração - Recife - PE
- 1. Cha EK, Mittal V, Allaben RD. Delayed sequelae of penetrating cardiac injury. Arch Surg 1993;128:836-39.
- 2. Gandhi SK, Marts BC, Mistry BM, et al. Selective management of embolized intracardiac missiles. Ann Thorac Surg 1996;62:290-292.
- 3. Kulshrestha P, Iyer KS, Balram A, et al. Chest injuries: a clinical and autopsy profile. J Trauma 1988;28:844-7.
- 4. Rheinhorn M, Kaufman HL, Hirsch EF, et al. Penetrating thoracic trauma in a pediatric population. Ann Thorac Surg 1996;61: 1501-5.
- 5. Symbas PN, Picone AL, Hatcher CR, et al. Cardiac missiles: a review of the literature and personal experience. Ann Surg 1990;635-47.
Datas de Publicação
-
Publicação nesta coleção
23 Jul 2010 -
Data do Fascículo
Ago 1998
Histórico
-
Aceito
14 Maio 1998 -
Recebido
11 Nov 1997