ArticleInternational journal of surgery case reports2020
Cardiac impalement injury by a steel rebar: A case report.
Article in International journal of surgery case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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3 citing papers in PubMed, 4 citations in OpenAlex.
- Proper Management for Massive Penetrating Chest Trauma Narrowly Missing Major Organs: A Case Report.Case reports in surgery · 2026Article
- Thoracic impalement injury by the barrel of a locally fabricated gun in 2 patients: case report.The Pan African medical journal · 2022Article
- Chest, pericardium, abdomen, and thigh penetrating injury by a steel rebar: A case report.World journal of clinical cases · 2020Article
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Authors and funding
2 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionPenetrating cardiac injury often occurs in South Korea. However, impalement injury of the heart with other organs is rare and fatal. We present a case of cardiac impalement injury by a steel rebar. PRESENTATION OF CASE: A 38-year-old man was brought to the emergency room with a steel rebar of 45.5 cm in length in situ. Chest tomography revealed that the rebar had entered the thorax to the right diaphragm via the left shoulder while piercing the heart. The patient was immediately taken to the operating room for surgery without removing the bar. We were able to rescue the patient with an emergency operation wherein the bleeding site was treated by pulling the steel rebar out step-by-step while performing cardiopulmonary bypass. DISCUSSION: Early diagnosis and rapid surgery are important factors for patients with cardiac impalement injury. Haemostasis must be achieved patiently step- by- step without removing the foreign object at once. CPB is an appropriate treatment, even if there is a risk of bleeding.
conclusionThis case highlights the importance of immediate surgical treatment for the survival of severe thoracic impalemant injury patients.
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