Abstract
Background: The need for cardiopulmonary bypass in the treatment of penetrating heart injuries is debated. Objectives: To review our experience with penetrating heart injuries and determine the indications and outcome for cardiopulmonary bypass. Design: Retrospective review. Setting: A university- based, level I trauma center. Patients: All victims of penetrating heart injury presenting between July 1, 1989, and December 31, 1995. Methods: Medical records were reviewed for demographic and physiological data, operative findings, and outcome. Results: Overall survival for 106 patients with penetrating heart injury was 55%. In an effort to resuscitate the heart, 4 patients with unresponsive cardiogenic shock were placed on cardiopulmonary bypass; none survived. Of 30 patients with multiple-chamber injuries, 11 presented with signs of life and 7 survived. Cardiopulmonary bypass was essential to repair complex injuries in 2 of the 7 survivors. Conclusion: Cardiopulmonary bypass was ineffective in salvaging patients with cardiogenic shock but was essential in some patients with complex multiple-chamber cardiac injuries that could not be exposed and repaired by other means.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 855-860 |
| Number of pages | 6 |
| Journal | Archives of Surgery |
| Volume | 133 |
| Issue number | 8 |
| DOIs | |
| State | Published - Aug 1998 |
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ASJC Scopus subject areas
- Surgery
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Use of cardiopulmonary bypass to salvage patients with multiple-chamber heart wounds. / Baker, Jon M.; Battistella, Felix D.; Kraut, Eric; Owings, John T; Follette, David M.
In: Archives of Surgery, Vol. 133, No. 8, 08.1998, p. 855-860.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Use of cardiopulmonary bypass to salvage patients with multiple-chamber heart wounds
AU - Baker, Jon M.
AU - Battistella, Felix D.
AU - Kraut, Eric
AU - Owings, John T
AU - Follette, David M.
PY - 1998/8
Y1 - 1998/8
N2 - Background: The need for cardiopulmonary bypass in the treatment of penetrating heart injuries is debated. Objectives: To review our experience with penetrating heart injuries and determine the indications and outcome for cardiopulmonary bypass. Design: Retrospective review. Setting: A university- based, level I trauma center. Patients: All victims of penetrating heart injury presenting between July 1, 1989, and December 31, 1995. Methods: Medical records were reviewed for demographic and physiological data, operative findings, and outcome. Results: Overall survival for 106 patients with penetrating heart injury was 55%. In an effort to resuscitate the heart, 4 patients with unresponsive cardiogenic shock were placed on cardiopulmonary bypass; none survived. Of 30 patients with multiple-chamber injuries, 11 presented with signs of life and 7 survived. Cardiopulmonary bypass was essential to repair complex injuries in 2 of the 7 survivors. Conclusion: Cardiopulmonary bypass was ineffective in salvaging patients with cardiogenic shock but was essential in some patients with complex multiple-chamber cardiac injuries that could not be exposed and repaired by other means.
AB - Background: The need for cardiopulmonary bypass in the treatment of penetrating heart injuries is debated. Objectives: To review our experience with penetrating heart injuries and determine the indications and outcome for cardiopulmonary bypass. Design: Retrospective review. Setting: A university- based, level I trauma center. Patients: All victims of penetrating heart injury presenting between July 1, 1989, and December 31, 1995. Methods: Medical records were reviewed for demographic and physiological data, operative findings, and outcome. Results: Overall survival for 106 patients with penetrating heart injury was 55%. In an effort to resuscitate the heart, 4 patients with unresponsive cardiogenic shock were placed on cardiopulmonary bypass; none survived. Of 30 patients with multiple-chamber injuries, 11 presented with signs of life and 7 survived. Cardiopulmonary bypass was essential to repair complex injuries in 2 of the 7 survivors. Conclusion: Cardiopulmonary bypass was ineffective in salvaging patients with cardiogenic shock but was essential in some patients with complex multiple-chamber cardiac injuries that could not be exposed and repaired by other means.
UR - http://www.scopus.com/inward/record.url?scp=0031829212&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0031829212&partnerID=8YFLogxK
U2 - 10.1001/archsurg.133.8.855
DO - 10.1001/archsurg.133.8.855
M3 - Article
C2 - 9711959
AN - SCOPUS:0031829212
VL - 133
SP - 855
EP - 860
JO - JAMA Surgery
JF - JAMA Surgery
SN - 2168-6254
IS - 8
ER -