Coronary Sinus Injury in a Multisystem Thoracoabdominal Cut/Stab Wound
https://doi.org/10.23934/2223-9022-2022-11-3-513-515
Abstract
We report a case of successful treatment of a patient with multiple stab and cut wounds of chest and abdomen which resulted in the injuries of venous coronary sinus and abdominal organs. Surgical wound revision in the antishock unit, priorities of surgical accesses (thoracotomy and laparotomy) allowed timely cure the injury. A key feature of our case report is a coronary sinus trauma.
Coronary sinus suturing in a closed heart surgery is technically difficult. It has the potential hazard due to the proximity of coronary arteries, stricture and thrombosis of the coronary sinus after suturing. Extracorporeal circulation and cardioplegia ensure reliable hemostasis and intact patency of the coronary sinus. Clinical case of suturing coronary sinus injury in a closed heart surgery proves the reasonable use of autopericardial strengthening strips and local hemostatic made of regenerated cellulose.
About the Authors
V. I. Batekha
Irkutsk State Medical University; Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Viacheslav I. Batekha Cardiovascular surgeon, Irkutsk Regional Clinical Hospital; assistance lecturer, Irkutsk State Medical University
664003, Irkutsk, Krasnogo Vosstaniya Street, 1
664049, Irkutsk, Yubileyniy Microdistrict, 100
G. V. Pechenyuk
Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Grigory V. Pechenyuk Surgeon
664049, Irkutsk, Yubileyniy Microdistrict, 100
P. I. Sandakov
Irkutsk State Medical University; Irkutsk Regional Clinical Hospital
Russian Federation
Russian Federation
Pavel I. Sandakov Candidate of Medical Sciences, Pathologist, Deputy Chief Physician for Surgery, Irkutsk Regional Clinical Hospital, Assistance Lecturer, Irkutsk State Medical University
664003, Irkutsk, Krasnogo Vosstaniya Street, 1
664049, Irkutsk, Yubileyniy Microdistrict, 100
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Review
For citations:
Batekha V.I., Pechenyuk G.V., Sandakov P.I. Coronary Sinus Injury in a Multisystem Thoracoabdominal Cut/Stab Wound. Russian Sklifosovsky Journal "Emergency Medical Care". 2022;11(3):513-515. https://doi.org/10.23934/2223-9022-2022-11-3-513-515
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