Heart Views

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


Duilio Divisi, Carmine Villani, Sergio Di Tommaso, Alessandro Mazzola 
 Department of Cardiothoracic Surgery, "G. Mazzini" Hospital, Teramo, Italy

Correspondence Address:
Duilio Divisi
Circonvallazione Ragusa 39, 64100 Teramo
Italy




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;11:126-127


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 Dec 16 ];11:126-127
Available from: http://www.heartviews.org/text.asp?2010/11/3/126/76810


Full Text

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}{Figure 2}

References

1Divisi 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.
2Casós SR, Richardson JD. Role of thoracoscopy in acute management of chest injury. Curr Opin Crit Care 2006;12:584-9.
3Doetsch 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.