Login | Users Online: 18  
Home Print this page Email this page Small font sizeDefault font sizeIncrease font size   
Home | About us | Editorial board | Search | Ahead of print | Current Issue | Archives | Submit article | Instructions | Subscribe | Advertise | Contact us
 


 
Table of Contents
A PICTURE IS WORTH A THOUSAND WORDS
Year : 2010  |  Volume : 11  |  Issue : 3  |  Page : 126-127  

Fortunate finger deviation of a fatal heart bullet injury


Department of Cardiothoracic Surgery, "G. Mazzini" Hospital, Teramo, Italy

Date of Web Publication22-Feb-2011

Correspondence Address:
Duilio Divisi
Circonvallazione Ragusa 39, 64100 Teramo
Italy
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1995-705X.76810

Rights and Permissions

How to cite this article:
Divisi D, Villani C, Tommaso SD, Mazzola A. Fortunate finger deviation of a fatal heart bullet injury. Heart Views 2010;11:126-7

How to cite this URL:
Divisi D, Villani C, Tommaso SD, Mazzola A. Fortunate finger deviation of a fatal heart bullet injury. Heart Views [serial online] 2010 [cited 2019 Apr 24];11:126-7. Available from: http://www.heartviews.org/text.asp?2010/11/3/126/76810

A young man arrived at the emergency room complaining of two lesions: one in the middle left finger and the other in the left nipple line. He was hemodynamically stable, conscious and able to say that he had been shot at a distance of 3 m, protecting himself with his left hand. Based on computerized tomography (CT) of the thorax [Figure 1], we preferred median sternotomy approach instead of videothoracoscopy. [1],[2] We discovered a left ventricular injury without rupture of cardiac cavity; the bullet was found in the pericardium. The heart bullet injury was repaired with interrupted monofilament stitches reinforced by Teflon strips [Figure 2]. [3]
Figure 1: a) The bullet's left nipple line wound; b) chest X-ray shows the intracardiac bullet; c) CT of the thorax reveals bilateral hemothorax and a huge fluid collection in the pericardium. The ribs were undamaged. The trajectory of the bullet was deviated by the finger seems to be from the left to the right side of chest

Click here to view
Figure 2: Intraoperative view. a) The entry and exit heart wounds; b) the reinforcement of suture by Teflon strips; c) bullet

Click here to view


 
   References Top

1.Divisi D, Battaglia C, De Berardis B, Vaccarili M, Di Francescantonio W, Salvemini S, et al. Video-assisted thoracoscopy in thoracic injury: Early or delayed indication? Acta Biomed 2004;75:158-63.  Back to cited text no. 1
    
2.Casós SR, Richardson JD. Role of thoracoscopy in acute management of chest injury. Curr Opin Crit Care 2006;12:584-9.  Back to cited text no. 2
    
3.Doetsch N, Wolfhard U, Mathers MJ, Zerkowski HR. Survival after heart and coronary-artery penetration by an air-rifle projectile. Thorac Cardiovasc Surg 1989;37:332-4.  Back to cited text no. 3
    


    Figures

  [Figure 1], [Figure 2]



 

Top
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
    References
    Article Figures

 Article Access Statistics
    Viewed1788    
    Printed74    
    Emailed0    
    PDF Downloaded61    
    Comments [Add]    

Recommend this journal