Document Detail


Out-of-hospital cardiopulmonary arrest due to penetrating cardiac injury treated by percutaneous cardiopulmonary support in the emergency room: report of a case.
MedLine Citation:
PMID:  17342366     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Yoshihiko Kurimoto; Hitoshi Kano; Naoya Yama; Satoshi Nara; Mamoru Hase; Yasufumi Asai
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-03-09
Journal Detail:
Title:  Surgery today     Volume:  37     ISSN:  0941-1291     ISO Abbreviation:  Surg. Today     Publication Date:  2007  
Date Detail:
Created Date:  2007-03-07     Completed Date:  2007-10-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  240-2     Citation Subset:  IM    
Affiliation:
Department of Traumatology and Critical Care Medicine, Sapporo Medical University, South 1, West 16, Sapporo 060-8543, Japan.
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MeSH Terms
Descriptor/Qualifier:
Cardiac Surgical Procedures
Cardiopulmonary Bypass*
Emergency Service, Hospital*
Heart Arrest / etiology,  therapy*
Heart Injuries / etiology,  surgery*
Heart Ventricles / injuries
Humans
Hypoxia, Brain / etiology,  rehabilitation
Male
Middle Aged
Suicide, Attempted
Wounds, Stab / complications

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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