We selected 89 patients with chest injuries,
of those 29 patients demonstrated traumas of great vessels or heart:
• 6 - pneumopericardium;
• 5 - hemopneumopericardium;
• 4 - heart dislocation with rupture of diaphragm;
• 2 - rupture of Ао with false aneurysm;
• 1 - descending Ao rupture;
• 1 - Ao intima detachment;
• 1 – traumatic RASubclavia;
• 4 - foreign bodies in the pericardial cavity and RV,
SVC and RA,
RASubclavia;
• 2 - air in the cardiac chambers.
• 1 - aortic arch iatrogenic injury
The other 62 patients with different injuries of lung and musculoskeletal system.
According to the CT findings 84 patients were operated on,
of those there were four fatal cases. (Fig.1)
Aortic Traumas (Fig.2).
Heart trauma(Fig.3).
Foreign body in the pericardial cavity(Fig.4).
Anterior chest wall stab wound,
RA(Fig.5).
Vessel Iatrogenic Injury(Fig.6).
A male patient,
49
In 2013 he dove into the river and injured his posterior triangle of neck with a branch.
This branch was removed,
we performed exploration of the wound and closed it.
Later in a month the patient developed wound infection,
he was operated on and healing
process was achieved by secondary intention.
In 2 years after that injury,
in February,
2015 the patient referred with hemoptysis.
We performed embolyzation of the posttraumatic aneuryzm in the right subclavian artery.
After the performed treatment hemoptysis progressed
(Fig.7).
Incomplete sternotomy. Removal of foreign body,
Atypical resection of the right lung upper lobe (S1).
(Fig.8).
Aortiv Arch Iatrogenic Injury
A girl,
4 months.
Status following unsuccessful cannulation of the left subclavian vein in the infectious diseases hospital.
Injury of the aortic arch (Fig.9).