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Penetrating Cardiac Injury

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Factors affecting prognosis with penetrating wounds of the heart.
Tyburski JG, Astra L, Wilson RF, Dente C, Steffes C.
J Trauma. 2000 Apr;48(4):587-90; discussion 590-1.

Rationale for inclusion: Once again, physiology and injury mechanism best determined outcomes after penetrating cardiac injury.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

The role of ultrasound in patients with possible penetrating cardiac wounds: a prospective multicenter study.
Rozycki GS, Feliciano DV, Ochsner MG, Knudson MM, Hoyt DB, Davis F, Hammerman D, Figueredo V, Harviel JD, Han DC, Schmidt JA.
J Trauma. 1999 Apr;46(4):543-51; discussion 551-2.

Rationale for inclusion: A prospective, multi-center study demonstrating that ultrasound is not only sensitive for cardiac injury detection, but rapid also.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Penetrating cardiac injuries: a prospective study of variables predicting outcomes.
Asensio JA, Murray J, Demetriades D, Berne J, Cornwell E, Velmahos G, Gomez H, Berne TV.
J Am Coll Surg. 1998 Jan;186(1):24-34.

Rationale for inclusion: In this prospective analysis of penetrating cardiac injuries, physiologic condition and injury mechanism were the best predictors of outcomes.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

The role of surgeon-performed ultrasound in patients with possible cardiac wounds.
Rozycki GS, Feliciano DV, Schmidt JA, Cushman JG, Sisley AC, Ingram W, Ansley JD.
Ann Surg. 1996 Jun;223(6):737-44; discussion 744-6.

Rationale for inclusion: In 247 patients, ultrasound 100% sensitivity, specificity, and accuracy in patients with possible cardiac wounds.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Use of echocardiography to detect occult cardiac injury after penetrating thoracic trauma: a prospective study.
Meyer DM, Jessen ME, Grayburn PA.
J Trauma. 1995 Nov;39(5):902-7; discussion 907-9.

Rationale for inclusion: 105 patients with penetrating thoracic trauma underwent both ECHO and subxiphoid window.  In patients without hemothoraces, ECHO sensitivity was 100%.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

Subxiphoid pericardial window in patients with suspected traumatic pericardial tamponade.
Arom KV, Richardson JD, Webb G, Grover FL, Trinkle JK.
Ann Thorac Surg. 1977 Jun;23(6):545-9.

Rationale for inclusion: The use of subxiphoid pericardial window led to rapid diagnosis of hemoperricardium.

Citations  - To review the number of citations for this landmark paper, visit Google Scholar.

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