This paper is only available as a PDF. To read, Please Download here.
During the 12 year period from 1951 to 1963, 31 patients sustaining gunshot wounds of the heart were alive on admission to the Jefferson Davis Hospital. Twenty patients survived, an over-all mortality rate of 35.5 percent. Seventeen patients required cardiorrhaphy with 10 deaths, a total operative mortality rate of 59 percent. Eight patients were operated upon following perliminary pericardicentesis with only two deaths or an operative mortality rate of only 25 percent. Eleven patients treated primarily by pericardicentesis did not require surgery, and only one of them died. Specific therapy was unnecessary in 3 patients all of whom survived. Among 19 patients receiving pericardicentesis as either definitive treatment or in preparation for operation, there were only 3 deaths, a mortality rate of 15 percent. It would appear from these findings that pericardicentesis should be employed as the primary method of managing gunshot wounds of the heart.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Surgery
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
- Penetrating wounds of the heart.J. Trauma. 1961; 1: 195
- Treatment of penetrating wounds of the heart: Experimental and clinical observations.Surgery. 1955; 37: 882
- Cardiac tamponade: Treatment by aspiration.Ann. Surg. 1951; 133: 623
- Cardiac wounds.Ann. Surg. 1954; 139: 783
- Pericardial tamponade. Newer dynamic concepts.Am. J. Surg. 1960; 99: 782
- The management of wounds of the heart. A recent series of 43 cases with comment on pericardicentesis in hemopericardium.Ann. Surg. 1956; 144: 1018
- Gunshot wounds of the heart. A review of twenty cases.Am. J. Surg. 1960; 99: 788
- Aspiration of blood from pericardium in treatment of acute cardiac tamponade after injury. Further experience with report of cases.Arch. Surg. 1949; 58: 463
- Cardiac injuries: An evaluation of the immediate and long range results of treatment.Ann. Surg. 1958; 147: 347
Received: May 13, 1964
☆Supported in part by United States Public Health Service Grant HE-03137 and United States Army Research and Development Command Contract No. DA-49-007-MD-2523.
© 1965 Published by Elsevier Inc.