Principles for the management of penetrating cardiac wounds.

  title={Principles for the management of penetrating cardiac wounds.},
  author={Jonathan S. Evans and Laman A Gray and A V Rayner and Rachel Fulton},
  journal={Annals of surgery},
  volume={189 6},
An experience with penetrating cardiac injuries between 1974 and 1977 has permitted designation of particular findings as indications for emergent operations and appropriate therapeutic approaches. Of the 46 patients with cardiac trauma, 28 suffered gunshot wounds. Seventeen patients died, and 14 of the deaths occurred as a result of asystole, ventricular fibrillation or exsanguination during operation. Two patients died of neurologic sequelae following successful cardiac repair, and one died… CONTINUE READING