Citation

Suzuki T, Wada T, Funaki S, Abe H, Seki I, Imaki S, Nakazawa A. Surg. Today 2014; 44(6): 1152-1155.

Copyright

(Copyright © 2014, Holtzbrinck Springer Nature Publishing Group)

DOI

10.1007/s00595-012-0457-5

PMID

unavailable

Abstract

This report describes the case of a 47-year-old man who shot himself in the left side of the chest in an attempted suicide, and was transferred to the hospital. Two gunshot wounds were found in the left side of the chest and the back. CT scans revealed left hemopneumothorax, the accumulation of pericardial blood, and lacerations of the heart and the spleen. Emergency thoracotomy and laparotomy were performed. There was a contusion of the left lung and lacerations of the left ventricular free wall, the diaphragm, and the spleen. The laceration of the heart was repaired by 3 pairs of mattress sutures with felt strips, and covered with fibrin glue and a TachoComb® tissue sealing sheet without the use of cardiopulmonary bypass. The patient was discharged on foot on the 18th postoperative day. Such patients can only be saved with an efficient emergency medical-care system including quick transportation, and close cooperation of the hospital staff. © 2012 Springer.

Language: en

Keywords

Humans; Male; Middle Aged; adult; human; male; Emergency Medical Services; Wounds, Gunshot; Treatment Outcome; Transportation of Patients; Suicide, Attempted; case report; suicide attempt; Heart Ventricles; treatment outcome; article; gunshot injury; physical examination; middle aged; emergency health service; patient transport; laceration; computer assisted tomography; postoperative period; penetrating trauma; electrocardiogram; laparotomy; thoracotomy; leukocyte count; heart surgery; Gunshot wound; cardiopulmonary bypass; procedures; heart ventricle; emergency surgery; suturing method; Suture Techniques; Lacerations; hematopneumothorax; Cardiac Surgical Procedures; spleen injury; Biologic glue sheet; fibrin glue; Fibrin Tissue Adhesive; Penetrating cardiac trauma; Self-inflicted gunshot wound; tachocomb; traumatic left ventricular free wall laceration; Traumatic left ventricular free wall laceration