Penetrating Thoracic Injury Research Articles

Penetrating thoracic injury with associated abdominal visceral involvement in a mare

SummaryA mare was presented for evaluation of a penetrating thoracic injury. Surgical exploration of the thoracic wound was performed, revealing diaphragmatic perforation and the presence of a foreign body lodged in the right dorsal colon. The foreign body was removed through the thoracic deficit, the colon repaired and the thoracic wound closed utilising a latissimus dorsi muscle flap. It can be concluded that successful management of thoracic wounds with concurrent abdominal viscera involvement is achievable if minimal contamination is evident. In addition reconstruction of large thoracic defects with primary muscle flaps is a viable option in the horse.

Successful Use of Recombinant Activated Coagulation Factor VII in a Patient with Massive Hemoptysis From a Penetrating Thoracic Injury

Acute massive hemoptysis is a rare complication of pulmonary injury and contusion, and it is particularly difficult to manage in the nontertiary care setting. Recombinant activated coagulation factor VII (rFVIIa) is a prothrombotic drug that is increasingly being used to treat coagulopathy in massively exsanguinating trauma patients. We report a case in which recombinant activated coagulation factor VII successfully controlled massive hemoptysis and improved ventilation from a severe pulmonary contusion in a noncoagulopathic patient who suffered a penetrating thoracic injury in a military setting in Afghanistan.

An unusual high-pressure penetrating thoracic injury: a case report

An unusual high-pressure penetrating thoracic injury: a case report

Indications for thoracotomy following penetrating thoracic injury

Indications for thoracotomy following penetrating thoracic injury

Traumatic right coronary arterial-right atrial fistula

A healthy 25 year old man presented with a machinery murmur and a history of a penetrating thoracic injury. Hemodynamic and angiographie evaluation demonstrated a fistula from the right coronary artery to the right atrium that was later successfully repaired. This case and similar reported cases indicate that fistula formation is a late complication of penetrating thoracic injuries. The onset of the murmur occurs with enlargement of the fistula and typically is delayed for several weeks to months after the initial injury.