초록접수 현황
| 17F-078 | 구연 미채택시 English competition forum 발표 |
Cardiopulmonary Bypass Preparation before Surgical Exploration for Traumatic Cardiac Injury: Overuse or Necessity?
Seong Cheol Jeong, Insub Kim, Jae Jun Kim, Si Young Choi, Yong Hwan Kim
Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary`s Hospital, The Catholic University College of Medicine, Gyeonggi-do, Republic of Korea
Purpose : In patient with traumatic cardiac injury, the severity of cardiac injury is predictable by the imaging study, cardiac enzyme , hemodynamic data and electrocardiography, however, the intraoperative findings are not always consistent with the severity. There is broad spectrum from the cardiac contusion to the cardiac rupture which is too severe to repair without cardiopulmonary bypass(CPB), but we cannot prime the CPB circuit without evidence in all cases. Thus, this study evaluates the preoperative factors of cardiac injury which requires CPB.
Methods : 17 patients (13 males and 4 females) were enrolled. We compared mechanisms of trauma, revised trauma score, associated injuries, pericardial data on computed tomography (Haunsfield unit and the diameter of pericardial thickness), electrocardiography and laboratory data between patients requiring cardiopulmonary bypass and those with SPW or simple repair.
Results : There were 5 stab wounds and 12 blunt trauma. 3 patients had a negative SPW and 13 patient had cardiac repair using CPB and 1 patient had cardiac repair through thoracotomy. There were 5 mortality. we reviewed postoperatively wheather CPB should be used for cardiac repair and assigned 9 patients. they had the elevation of troponin T significantly. The extent of hemopericardium is not risk factor. In the majority of patients with stab wound(4/5), CPB was mandatory for cardiac repair.
Conclusion : Cardiopulmonary bypass standby should be considered when repairing traumatic cardiac injury especially with elevated troponin and stab wound.
Methods : 17 patients (13 males and 4 females) were enrolled. We compared mechanisms of trauma, revised trauma score, associated injuries, pericardial data on computed tomography (Haunsfield unit and the diameter of pericardial thickness), electrocardiography and laboratory data between patients requiring cardiopulmonary bypass and those with SPW or simple repair.
Results : There were 5 stab wounds and 12 blunt trauma. 3 patients had a negative SPW and 13 patient had cardiac repair using CPB and 1 patient had cardiac repair through thoracotomy. There were 5 mortality. we reviewed postoperatively wheather CPB should be used for cardiac repair and assigned 9 patients. they had the elevation of troponin T significantly. The extent of hemopericardium is not risk factor. In the majority of patients with stab wound(4/5), CPB was mandatory for cardiac repair.
Conclusion : Cardiopulmonary bypass standby should be considered when repairing traumatic cardiac injury especially with elevated troponin and stab wound.
책임저자: Seong Cheol Jeong
Department of Thoracic and Cardiovascular Surgery, Uijeongbu St. Mary`s Hospital, The Catholic University College of Medicine, Gyeonggi-do, Republic of Korea
발표자: Seong Cheol Jeong, E-mail : icebar000@gmail.com