Videothoracoscopic cardiac exploration: a useful tool for diagnosing and treating thoracic wounds

Main Article Content

Stephane Lopez

Abstract

Objectives: To evaluate the role of videothoracoscopic cardiac exploration (VCE) to diagnose and treat stable patients with a chest wound in ‘the cardiac box’.

Methods: All hemodynamically stable patients, with a penetrating chest wound close to the heart, were proposed for videothoracoscopy. Pericardoscopy was carried out by introducing the videoendoscope into the pericardium.

Results: Eight male patients, average age 25 years (range: 22-42 years), were investigated using VCE. All wound-entry points were in the left hemithorax, and the wounds were inflicted by knives (n=6), a Tahitian arrow (n=1), and an air-compressed nail (n=1). Pericardoscopy was carried out in three patients. Recurrence of active bleeding was found in two patients and a healed right-ventricular wound without active bleeding in one patient. Myocardial suture was performed through a sternotomy to repare a left-ventricular wound and through an anterolateral thoracotomy to control the left anterior descending coronary artery at the apex.

Associated procedures were removal of a dagger under direct vision (n=1), removal of an intra-thoracic foreign body (n=1), Endo-GIA stapling of lung wounds (n=4), direct suturing of diaphragmatic wounds (n=1), and hemostasis of the intercostal artery (n=2). No deaths and no significant complications occurred in the immediate postoperative period or after follow-up at 3 months.

Conclusions: Videothoracoscopic cardiac exploration appears to be an accurate and  reliable method for diagnosing and treating thoracic wounds.

Article Details

How to Cite
LOPEZ, Stephane. Videothoracoscopic cardiac exploration: a useful tool for diagnosing and treating thoracic wounds. Medical Research Archives, [S.l.], v. 5, n. 11, nov. 2017. ISSN 2375-1924. Available at: <http://journals.ke-i.org/index.php/mra/article/view/1448>. Date accessed: 15 dec. 2017. doi: https://doi.org/10.18103/mra.v5i11.1448.
Keywords
thoracoscopic cardiac exploration, thoracic wound, video,
Section
Research Articles

Most read articles by the same author(s)

Obs.: This plugin requires at least one statistics/report plugin to be enabled. If your statistics plugins provide more than one metric then please also select a main metric on the admin's site settings page and/or on the journal manager's settings pages.