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Multislice Computed Tomography in Diagnosis of Gunshot Wound of the Heart (Сlinical Observation)

Abstract

Fire penetrating wounds of the heart in the vast majority of cases lead to the death of the victim at the scene of the injury. In this clinical observation, the case of left ventricular injury detected at the stage of specialized surgical care using multi-cut computed tomography (MSCT) is demonstrated. Timely diagnosis of the nature of heart damage, determination of the location of the foreign body, the choice of optimal access allowed for successful surgical intervention in the wounded. The results of MSCT angiography, ultrasound and a brief literature review are presented.

About the Authors

I. S. Obell’Chak
Federal State-Funded Healthcare Institution “Main Military Clinical Hospital of the National Guard of the Russian Federation”
Russian Federation


A. Yu. Vasil’Ev
Moscow State Medical University of Medicine and Dentistry named after A. I. Evdokimov, Ministry of Healthcare of Russia
Russian Federation


References

1. Военно-полевая хирургия / Жианну К., Балдан М., Молде А. М.: ЗАО «Амфора», 2015. 679 с.

2. Военно-полевая хирургия локальных войн и вооруженных конфликтов: Руководство для врачей / Под ред. Е. К. Гуманенко, И. М. Самохвалова. М.: ГЭОТАР-Медиа, 2011. 672 с.

3. Военно-полевая хирургия: Учебник / Под ред. Е. К. Гуманенко. М.: ГЭОТАР-Медиа, 2015. 768 с.

4. Durso A. M., Caban K., Munera F. Penetrating thoracic injury // J. Radiol. Clin. N. Am. 2015. V. 53. № 4. P. 675-693.

5. Clark K. R. Imaging assessment of gunshot injuries // Radiol. Technol. 2016. V. 87. № 6. P. 627-644.

6. Quinn A. C., Sinert R. What is the utility of the focused assessment with sonography in trauma (FAST) exam in penetrating torso trauma? // J. Injury. 2011. V. 42. № 5. P. 482-487.

7. Siddiqui F. A., Kabeer J., Shahabuddin S. Surviving shot through the heart: Management in two cases // J. Pak. Med. Assos. 2015. V. 65. № 1. P. 93-94.


Review

For citations:


Obell’Chak I.S., Vasil’Ev A.Yu. Multislice Computed Tomography in Diagnosis of Gunshot Wound of the Heart (Сlinical Observation). Radiology - Practice. 2019;(1):39-45. (In Russ.)

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ISSN 2713-0118 (Online)