TY  - JOUR
PY  - 2013//
TI  - Penetrating cardiac trauma in adolescents: A rare injury with excessive mortality
JO  - Journal of pediatric surgery
A1  - Lustenberger, Thomas
A1  - Talving, Peep
A1  - Lam, Lydia
A1  - Inaba, Kenji
A1  - Mohseni, Shahin
A1  - Smith, Jennifer Ann
A1  - Demetriades, Demetrios
SP  - 745
EP  - 749
VL  - 48
IS  - 4
N2  - BACKGROUND: Penetrating cardiac injuries in pediatric patients are rarely encountered. Likewise, the in-hospital outcome measures following these injuries are poorly described. METHODS: All pediatric patients (<18years) sustaining penetrating cardiac injuries between 1/2000 and 12/2010 were retrospectively identified using the trauma registry of an urban level I trauma center. Demographic and admission variables, operative findings, and hospital course were extracted. Outpatient follow-up data were obtained through chart reviews and cardiac-specific imaging studies. RESULTS: During the 11-year study period, 32 of the 4569 pediatric trauma admissions (0.7%) sustained penetrating cardiac injuries. All patients were male and the majority suffered stab wounds (81.2%). The mean systolic blood pressure on admission was 28.8±52.9mmHg and the mean ISS was 46.9±27.7. Cardiac chambers involved were the right ventricle (46.9%), the left ventricle (43.8%), and the right atrium (18.8%). Overall, 9 patients (28.1%) survived to hospital discharge. Outpatient follow-up echocardiography was available for 4 patients (44.4%). An abnormal echocardiography result was found in 1 patient, demonstrating hypokinesia and tricuspid regurgitation. CONCLUSIONS: Penetrating cardiac trauma is a rare injury in the pediatric population. Cardiac chambers predominantly involved are the right and left ventricles. This injury is associated with a low in-hospital survival (<30%).<p />  <p>Language: en</p>
LA  - en
SN  - 0022-3468
UR  - http://dx.doi.org/10.1016/j.jpedsurg.2012.08.020
ID  - ref1
ER  -