| Penetrating wounds to the heart: a wartime experience. | |
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MedLine Citation:
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PMID: 2919909 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Forty-nine war casualties with penetrating cardiac wounds were treated at the Hôtel-Dieu de France University Hospital between April 1975 and December 1987. All the wounds were caused by high-velocity missiles. An aggressive approach was utilized. Emergency room thoracotomy was performed in 17 "lifeless" patients, 4 of whom survived. Twenty-seven of the 32 patients who were in stable enough condition to undergo initial repair in the operating room survived. Overall survival was 63% (31/49). No intracardiac injuries were diagnosed in survivors, and no cardiac reoperations were required. Careful analysis of the trajectory of the missile or missiles and a portable chest roentgenogram were the most important factors for diagnosing a penetrating wound to the heart and for predicting potential associated injuries. |
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Authors:
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V A Jebara; B Saade |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Annals of thoracic surgery Volume: 47 ISSN: 0003-4975 ISO Abbreviation: Ann. Thorac. Surg. Publication Date: 1989 Feb |
Date Detail:
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Created Date: 1989-03-29 Completed Date: 1989-03-29 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 15030100R Medline TA: Ann Thorac Surg Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 250-3 Citation Subset: AIM; IM |
Affiliation:
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Division of Thoracic and Cardio-vascular Surgery, Hôtel-Dieu de France, Université Saint Joseph, Beirut, Lebanon. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Female Follow-Up Studies Heart Injuries / mortality, pathology, surgery* Humans Lebanon Male Middle Aged War* Wounds, Penetrating / mortality, pathology, surgery* |
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