Kosuyolu Heart J 2010;13(1)
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Penetrating Stab Wound of the Right Ventricule

Ahmet Şaşmazel MD, Hasan Erdem MD, Fuat Büyükbayrak MD, Onursal Buğra MD


ABSTRACT

18 years old male patient was admitted to our emergency unit with a penetrating stab wound to the right ventricule. A stab wound to the right ventricle was found to be 3 cm in diameter. The bleeding was controlled by insertion of a Foley catheter and inşation of the balloon. The stab wound had transected distal acute marginal side of the right coronary artery. A successful repair was performed with the use of a foley catheter and application of the Medtronic Octopus Tissue Stabilization System. The wound was closed with pledgeted mattress sutures. The distal acute marginal side of the right coronary artery was ligated. In this presentation, the surgical intervention method was reported and followed by a discussion of emergency surgical procedures of the heart.

Key Words: Penetrating stab wound, right ventricule

Sağ Ventriküle Penetre Eden Yaralanma

Penetrating Stab Wound of the Right Ventricule

Ahmet Şaşmazel MD, Hasan Erdem MD, Fuat Büyükbayrak MD, Onursal Buğra MD


ÖZET

18 yaşında erkek hasta sağ ventriküle penetre eden yaralanma sonrası acil kliniğimize başvurdu. Sağ ventriküle penetre eden yaralanmanın 3 cm çapında olduğu tespit edildi. Kanama, Foley sondanın yaralanma bölgesinden sağ ventriküle doğru konulması ve şişirilmesi sayesinde kontrol altına alındı. Bu yaralanma sağ koroner arterin akut marjinal dalının distal kısmını transekte etmişti. Sağ ventrikül tamiri Foley sonda ve Medtronic Octopus Tissue Stabilization System kullanılarak başarılı bir şekilde gerçekleştirildi. Sağ ventrikül üzerindeki yaralanma teşon destekli matris dikişlerle tamir edildi. Sağ koroner arterin distal akut marjinal dalı bağlandı. Bu olgu sunumunda, uygulanan cerrahi yöntem anlatımı eşliğinde, kalbe acil cerrahi girişimler konusu tartışılmaktadır.

Anahtar Kelimeler: Penetre bıçak yarası, sağ ventrikül

ABSTRACT

18 years old male patient was admitted to our emergency unit with a penetrating stab wound to the right ventricule. A stab wound to the right ventricle was found to be 3 cm in diameter. The bleeding was controlled by insertion of a Foley catheter and inşation of the balloon. The stab wound had transected distal acute marginal side of the right coronary artery. A successful repair was performed with the use of a foley catheter and application of the Medtronic Octopus Tissue Stabilization System. The wound was closed with pledgeted mattress sutures. The distal acute marginal side of the right coronary artery was ligated. In this presentation, the surgical intervention method was reported and followed by a discussion of emergency surgical procedures of the heart.

Key Words: Penetrating stab wound, right ventricule

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