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Traumatic left ventricular free-wall laceration by a gunshot: report of a case.
MedLine Citation:
PMID:  23263299     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
This report describes the case of a 47-year-old man who shot himself in the left side of the chest in an attempted suicide, and was transferred to the hospital. Two gunshot wounds were found in the left side of the chest and the back. CT scans revealed left hemopneumothorax, the accumulation of pericardial blood, and lacerations of the heart and the spleen. Emergency thoracotomy and laparotomy were performed. There was a contusion of the left lung and lacerations of the left ventricular free wall, the diaphragm, and the spleen. The laceration of the heart was repaired by 3 pairs of mattress sutures with felt strips, and covered with fibrin glue and a TachoComb(®) tissue sealing sheet without the use of cardiopulmonary bypass. The patient was discharged on foot on the 18th postoperative day. Such patients can only be saved with an efficient emergency medical-care system including quick transportation, and close cooperation of the hospital staff.
Authors:
Takamaro Suzuki; Takafumi Wada; Shigeki Funaki; Hiroyuki Abe; Ippei Seki; Shohei Imaki; Akeo Nakazawa
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-12-21
Journal Detail:
Title:  Surgery today     Volume:  -     ISSN:  1436-2813     ISO Abbreviation:  Surg. Today     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-12-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204360     Medline TA:  Surg Today     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Department of Cardiovascular Surgery, School of Medicine, Yokohama City Seibu Hospital, St. Marianna University, Yasashicho 1197-1, Asahi-ku, Yokohama, Kanagawa, 241-0811, Japan, takamaros@gmail.com.
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