Respir Case Rep. 2017; 6(1): 64-67 | DOI: 10.5505/respircase.2017.93899

An Interesting Penetrating Cardiac Injury and Massive Transfusion: A Case Report

Muharrem Çakmak¹, Mehmet Nail Kandemir¹, Atilla Durkan¹, Bülent Öztürk¹, Sedat Kaya^2
1Department of Thoracic Surgery, Gazi Yaþargil Education and Research Hospital, Diyarbakýr, Turkey
²Department of Anesthesiology and Reanimation, Gazi Yaþargil Education and Research Hospital, Diyarbakýr, Turkey

The right ventricle is often injured in the penetrating cardiac injuries (PCIs). The most common place of intracardiac injury is interventricular septum. Symptoms vary depending on the type of injury, patients' transportation time, the size of the myocardial laceration, presence of pericardial tamponade, and the associated organ injury and the amount of blood lost. Compensation of blood loss during surgery is vital. Massive transfusion is a method which is used to compensate for blood loss and can sometimes cause metabolic side effects. Herein, we report a case who was operated three times due to a PCI within 24 hours and underwent massive transfusion.

Keywords: Penetrating Cardiac Injuries, sternotomy, massive Transfusion

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Ýlginç Bir Penetran Kalp Yaralanmasý ve Masif Transfüzyon: Olgu Sunumu

Muharrem Çakmak¹, Mehmet Nail Kandemir¹, Atilla Durkan¹, Bülent Öztürk¹, Sedat Kaya^2
1Gazi Yaþargil Eðitim ve Araþtýrma Hastanesi, Göðüs Cerrahisi Kliniði, Diyarbakýr
²Gazi Yaþargil Eðitim ve Araþtýrma Hastanesi, Anestezi ve Reanimasyon Kliniði, Diyarbakýr

Penetran kalp yaralanmalarýnda (PKY) sýklýkla sað ventrikül yaralanmaktadýr. En sýk intrakardiyak yaralanma yeri interventriküler septumdur. Semptomlar, yaralanmanýn tipine, hastanýn transport süresine, miyokarddaki laserasyonun boyutuna, perikardial tamponadýn varlýðýna, yandaþ organ yaralanmalarýna ve kaybedilen kanýn miktarýna baðlýdýr. Cerrahiyle birlikte kaybedilen kanýn karþýlanmasý hayati öneme sahiptir. Masif transfüzyon, kan kaybýný karþýlamada kullanýlan bazen metabolik yan etkilere neden olabilen bir tedavi yaklaþýmýdýr. Burada, PKY nedeniyle 24 saat içinde üç kez ameliyat edilen ve masif transfüzyon yapýlan olguyu paylaþmayý amaçladýk.

Anahtar Kelimeler: Penetran Kalp Yaralanmasý, sternotomi, masif Transfüzyon

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