M.V. Burmistrov1, 2, A.R. Zakiryanov3, K.V. Shklyaev1, 2, E.K. Kulbida1
1Kazan (Volga Region) Federal University, Kazan
2Republican Clinical Hospital, Kazan
3Interregional Clinical and Diagnostic Center, Kazan
Burmistrov M.V. — MD, Deputy Chief Doctor, Professor, Head of the Department of Surgical Diseases Kazan Federal University, Kazan
74 Karl Marx St., 420012 Kazan, Russian Federation, tel.: +7-917-869-53-07, e-mail: burma71@mail.ru, ORCID ID: 0000-0002-5334-6481
Abstract. Despite advances in the treatment of penetrating cardiac wounds, mortality from this disease remains high, ranging from 6 to 19%. According to various sources, cardiac wounds account for between 0.8 and 3% of all chest wounds in various military conflicts. Mortality in military personnel with cardiac wounds, according to various authors, ranges from 8.2 to 42%, and according to some sources, reaches 82% [1–3]. The article presents and analyzes cases of shrapnel wounds to the heart from the clinical practice of the Surgical Department No. 3 of the Republican Clinical Hospital, at the sixth stage of wounded evacuation. In one of the presented cases, a fragment was extracted without a heart-lung machine.
Key words: penetrating wound, shrapnel wound of the heart, heart-lung machine, cardiac surgery