Stage-by-stage treatment of a patient with severe combined trauma and heart rupture complicated by extensive ischemic stroke

• Published in: Hirurgija (Moskva) no. 10; p. 121
• Main Authors: Sigaev, S M, Rashid, A, Matyukhin, V V, Maskin, S S, Aleksandrov, V V
• Format: Journal Article
• Language: English; Russian
• Published: Russia (Federation) 2024
• Subjects: Adult; Cardiac Surgical Procedures - methods; Cardiac Tamponade - diagnosis; Cardiac Tamponade - etiology; Cardiac Tamponade - surgery; Heart Rupture - diagnosis; Heart Rupture - etiology; Heart Rupture - surgery; Humans; Ischemic Stroke - diagnosis; Ischemic Stroke - etiology; Ischemic Stroke - surgery; Male; Multiple Trauma - complications; Multiple Trauma - surgery; Thoracic Injuries - complications; Thoracic Injuries - diagnosis; Thoracic Injuries - surgery; Treatment Outcome; atrial rupture; cardiac tamponade; hemopericardium; ischemic stroke; severe combined trauma; orthopedic damage control
• ISSN: 0023-1207
• DOI: 10.17116/hirurgia2024101121

We demonstrate the peculiarities of diagnosis and successful multi-stage treatment of a patient with severe combined trauma and heart rupture complicated by extensive ischemic stroke in early postoperative period. A patient with severe combined injury was treated at the trauma center grade 3 (State Clinical Hospital No. 25, Volgograd) in 2023. We should remember Beck's triad and possible sternum fracture as a marker of severe chest injury for timely diagnosis of heart rupture with pericardial tamponade. Successful multi-stage treatment of a patient with severe combined trauma and cardiac rupture complicated by extensive ischemic stroke in early postoperative period was demonstrated.