ХИРУРГИЧЕСКАЯ КОРРЕКЦИЯ ПОСЛЕДСТВИЯ УШИВАНИЯ КОЛОТО-РЕЗАНОЙ РАНЫ СЕРДЦА

Владимир Анатольевич Подкаменный; Анатолий Александрович Шаравин; Дмитрий Игоревич Лиханди; Юрий Всеволодович Желтовский; Алексей Валерьевич Вырупаев

Владимир Анатольевич Подкаменный Irkutsk Regional Clinical Hospital, Irkutsk, Russian; Russian Medical Academy of Continuing Professional Education, Moscow, Russian http://orcid.org/0000-0002-3465-792X
Анатолий Александрович Шаравин Russian Medical Academy of Continuing Professional Education, Moscow, Russian http://orcid.org/0000-0003-1073-1213
Дмитрий Игоревич Лиханди Russian Medical Academy of Continuing Professional Education, Moscow, Russian
Юрий Всеволодович Желтовский Irkutsk Regional Clinical Hospital, Irkutsk, Russian; Russian Medical Academy of Continuing Professional Education, Moscow, Russian; Irkutsk State Medical University, Irkutsk, Russian http://orcid.org/0000-0002-3269-0195
Алексей Валерьевич Вырупаев Russian Medical Academy of Continuing Professional Education, Moscow, Russian http://orcid.org/0000-0001-6474-2917

Abstract

Aim. Demonstrate a clinical case of successful surgical treatment of a patient with coronary artery damage as a result of a stabincised wound of the heart in the history.

Methods. A patient with a history of acute myocardial infarction with a history of stab – incised wounds of the heart underwent coronary artery bypass surgery.

Results. The patient successfully underwent autovenous shunting of the anterior interventricular artery without artificial circulation below the site of coronary artery injury. The patient was discharged on day 7 under the supervision of a cardiologist.

Conclusion. During surgical interventions on the heart associated with stab-incised wounds, an important role in the development of acute myocardial infarction has a technique of suturing injuries in the immediate vicinity of the coronary arteries.

Author Biographies

Владимир Анатольевич Подкаменный, Irkutsk Regional Clinical Hospital, Irkutsk, Russian; Russian Medical Academy of Continuing Professional Education, Moscow, Russian

Podkamenniy V.A. – cardiovascular surgeon, MD, PhD, professor, 664079, Russia, Irkutsk, Ubileynyi, 100, Irkutsk Regional Clinical Hospital, cardiac department number 1, (3952) 407851, e-mail: pvdm@inbox.ru, ORCID: 0000-0002-3465-792X, SPIN-code: 1862- 4927

Анатолий Александрович Шаравин, Russian Medical Academy of Continuing Professional Education, Moscow, Russian

Шаравин Анатолий Александрович – врач-сердечно-сосудистый хирург, e-mail: trew1986@list.ru, ORCID: 0000-0003-1073-1213

Дмитрий Игоревич Лиханди, Russian Medical Academy of Continuing Professional Education, Moscow, Russian

Likhandi D.I. – cardiovascular surgeon ORCID: 0000-0003-3692-075X

Юрий Всеволодович Желтовский, Irkutsk Regional Clinical Hospital, Irkutsk, Russian; Russian Medical Academy of Continuing Professional Education, Moscow, Russian; Irkutsk State Medical University, Irkutsk, Russian

Zheltovskyi Y.V. – Head of the Department, cardiovascular surgeon, MD, PhD, DSc (Medicine), ORCID: 0000-0002-3269-0195, SPIN-code: 7588-7437

Алексей Валерьевич Вырупаев, Russian Medical Academy of Continuing Professional Education, Moscow, Russian

Vyrupaev A.V. – cardiologist, ORCID: 0000-0001-6474-2917

References

1. Булынин В.И., Вульф В.Н. Лечебная тактика при ранениях сердца // Грудная хирургия. 1985. №4. С.58-60.
2. Подкаменный В.А. Ближайшие и отдаленные результаты лечения колото-резаных ранений сердца и перикарда: Автореф. дис. … канд. мед. наук. Иркутск,1989. 20 с.
3. Espada R., Whisennand H.H., Mattox K.L. Surgical management of penetrating injuries to the coronary arteries // Surgery. 1975. Vol.78. P.755-760.
4. Levitsky S. New insight in cardiac trauma // Surg. Clin. N. Amer. 1975. Vol. 55. P.43-45.
REFERENCES
1. Bulynin V.I., Wulf V.N. Therapeutic tactics for wounds of the heart // Grudnaya khirurgiya. 1985. №4. P.58-60. (in Russian)
2. Podkamenniy V.A. Immediate and long-term results of treatment of stab wounds of the heart and pericardium: Thesis PhD (Medicine). Irkutsk, 1989. (in Russian)
3. Espada R., Whisennand H.H., Mattox K.L. Surgical management of penetrating injuries to the coronary arteries // Surgery. 1975. Vol. 78. P.755-760.
4. Levitsky S. New insight in cardiac trauma // Surg. Clin. N. Amer. 1975. Vol. 55. P.43-45.

SURGICAL CORRECTION OF THE CONSEQUENCE OF TAKING IN OF STAB-INCISED WOUND OF HEART

Abstract

Author Biographies

References