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Journal of Cardiothoracic Surgery

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Open Access 01-12-2024 | ECMO | Case Report

Management of penetrating cardiac injury and tricuspid regurgitation with extracorporeal-membrane oxygenation (ECMO): a case report

Authors: Alexandros N. Karavas, Keeyon Olia, Dane Scantling, Jacob Nudel, Jacob Kriegel, Niloo M. Edwards

Published in: Journal of Cardiothoracic Surgery | Issue 1/2024

Abstract

Background

Gunshot wounds (GSW) to the heart are lethal, and most patients die before they arrive to the hospital. Survival decreases with number of cardiac chambers involved. We report a case of a 17-year-old male who survived a GSW injury involving two cardiac chambers with acute severe tricuspid regurgitation (TR) who subsequently developed cardiogenic shock requiring extracorporeal membrane oxygenation (ECMO) support.

Case Presentation

A 17-year-old male sustained a single gunshot wound to the left chest, resulting in pericardial tamponade and right hemothorax. Emergency sternotomy revealed injury to the right ventricle and inferior cavoatrial junction with the adjacent pericardium contributing to a right hemothorax. The cardiac injuries were repaired primarily. Tricuspid regurgitation was confirmed immediately postoperatively. Five days after presentation, the patient developed cardiogenic shock secondary to TR requiring emergent stabilization with ECMO. He subsequently underwent successful tricuspid valve replacement.

Conclusions

This is the first report to our knowledge of successful ECMO support of severe TR due to gunshot injury to the heart.

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Title: Management of penetrating cardiac injury and tricuspid regurgitation with extracorporeal-membrane oxygenation (ECMO): a case report
Authors: Alexandros N. Karavas
Keeyon Olia
Dane Scantling
Jacob Nudel
Jacob Kriegel
Niloo M. Edwards
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: ECMO
ECMO
Cardiogenic Shock
Cardiogenic Shock
Gunshot Wound
Cardiac Trauma
Sternotomy
Published in: Journal of Cardiothoracic Surgery / Issue 1/2024
Electronic ISSN: 1749-8090
DOI: https://doi.org/10.1186/s13019-024-02557-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Management of penetrating cardiac injury and tricuspid regurgitation with extracorporeal-membrane oxygenation (ECMO): a case report

Abstract

Background

Case Presentation

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case Presentation

Conclusions

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