PMC6545437_01
Extracardiac injuries
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T1
The clinical examination showed rarely bleeding thoracic wounds (Figure 1 (Fig. 1), Figure 2 (Fig. 2)).
Entry wound of 45-Magnum-revolver
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F1
The clinical examination showed rarely bleeding thoracic wounds (Figure 1 (Fig. 1), Figure 2 (Fig. 2)).
Thoracic wound of the letter opener
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F2
In both cases, the computed-assisted tomography verified a massive left hematothorax and a pericardial tamponade (Figure 3 (Fig. 3), Figure 4 (Fig. 4)).
Computer-assisted tomography: hematothorax
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F3
In both cases, the computed-assisted tomography verified a massive left hematothorax and a pericardial tamponade (Figure 3 (Fig. 3), Figure 4 (Fig. 4)).
Computer-assisted tomography: pericardial tamponade
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F4
With non-absorbable sutures sheathed with teflon plates (Prolene 2-0) the defect was closed and the leackage of the stitches was sealed sufficiently with two fibrin fleeces (Tachosil ) (Figure 5 (Fig. 5), Figure 6 (Fig. 6)).
Left ventricle with non-absorbable sutures sheathed with teflon plates (Prolene 2-0)
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F5
With non-absorbable sutures sheathed with teflon plates (Prolene 2-0) the defect was closed and the leackage of the stitches was sealed sufficiently with two fibrin fleeces (Tachosil ) (Figure 5 (Fig. 5), Figure 6 (Fig. 6)).
Left ventricle sealed with fibrin fleeces (Tachosil )
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F6
Because of that, an "extension plastic" with a Vicryl mesh (Case 1) and a bovine patch (Tutomesh ) (Case 2) was sewed into the pericardium (Figure 7 (Fig. 7)).
Pericardium with bovine patch (Tutomesh )
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F7
An ordinary plastic sheet which is sewed into the skin (Figure 8 (Fig. 8)) helps the edematous lung to expand.