case_images: PMC6545437_01
case_images: Extracardiac injuries
case_images: IPRS-08-07-t-001.jpg
case_images: PMC6545437_01_IPRS-08-07-t-001.jpg
case_images: T1
case_images: The clinical examination showed rarely bleeding thoracic wounds (Figure 1 (Fig. 1), Figure 2 (Fig. 2)).
case_images: Entry wound of 45-Magnum-revolver
case_images: IPRS-08-07-g-001.jpg
case_images: PMC6545437_01_IPRS-08-07-g-001.jpg
case_images: F1
case_images: The clinical examination showed rarely bleeding thoracic wounds (Figure 1 (Fig. 1), Figure 2 (Fig. 2)).
case_images: Thoracic wound of the letter opener
case_images: IPRS-08-07-g-002.jpg
case_images: PMC6545437_01_IPRS-08-07-g-002.jpg
case_images: F2
case_images: In both cases, the computed-assisted tomography verified a massive left hematothorax and a pericardial tamponade (Figure 3 (Fig. 3), Figure 4 (Fig. 4)).
case_images: Computer-assisted tomography: hematothorax
case_images: IPRS-08-07-g-003.jpg
case_images: PMC6545437_01_IPRS-08-07-g-003.jpg
case_images: F3
case_images: In both cases, the computed-assisted tomography verified a massive left hematothorax and a pericardial tamponade (Figure 3 (Fig. 3), Figure 4 (Fig. 4)).
case_images: Computer-assisted tomography: pericardial tamponade
case_images: IPRS-08-07-g-004.jpg
case_images: PMC6545437_01_IPRS-08-07-g-004.jpg
case_images: F4
case_images: 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)).
case_images: Left ventricle with non-absorbable sutures sheathed with teflon plates (Prolene 2-0)
case_images: IPRS-08-07-g-005.jpg
case_images: PMC6545437_01_IPRS-08-07-g-005.jpg
case_images: F5
case_images: 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)).
case_images: Left ventricle sealed with fibrin fleeces (Tachosil )
case_images: IPRS-08-07-g-006.jpg
case_images: PMC6545437_01_IPRS-08-07-g-006.jpg
case_images: F6
case_images: 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)).
case_images: Pericardium with bovine patch (Tutomesh )
case_images: IPRS-08-07-g-007.jpg
case_images: PMC6545437_01_IPRS-08-07-g-007.jpg
case_images: F7
case_images: An ordinary plastic sheet which is sewed into the skin (Figure 8 (Fig. 8)) helps the edematous lung to expand.