Haemostasis of a right ventricle-gunshot wound using a novel haemostatic vacuum device

Paolo Porcu, Alexandre Moreau-Gaudry, Olivier Chavanon, Dominique Blin, Paolo Porcu, Alexandre Moreau-Gaudry, Olivier Chavanon, Dominique Blin

Abstract

Heart wounds are frequently fatal. The haemorrhage from a right ventricle-gunshot wound in a male patient was successfully controlled using a novel haemostatic vacuum device. This case report shows how this simple, quick and efficient method can be used to control critical bleedings.

Figures

Figure 1:
Figure 1:
(a) Luxation of the ventricular massif shows an active bleeding on the anterior wall of the right ventricle. (b) Placing a bell-shaped haemostatic vacuum device ensures the immediate control of the haemorrhage.
Figure 2:
Figure 2:
(a) The removal of the vacuum device reveals a dry wound. (b) Classic treatment of the lesion with two transfixiant pledgeted sutures using non-absorbable thread and local haemostatics.
https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3397729/bin/ivs10303.jpg
Supplementary Video 1: Bleeding wound is visualized, device application leads to a dry wound.
https://www.ncbi.nlm.nih.gov/pmc/articles/instance/3397729/bin/ivs10304.jpg
Supplementary Video 2: Pledgeted suture securing, Surgicel® with Bioglue®.

Source: PubMed

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