Evidence map›Paper›PMID 41116181›Full record

ArticleInternational journal of emergency medicine2025

Utility of video-assisted thoracoscopic surgery (VATS) and surgical magnets for management of the patient with gunshot injury to the heart and pericardium in Russia-Ukraine war.

Igor Lurin, Eduard Khoroshun, Vitalii Makarov, Volodymyr Nehoduiko, Yurii Bunin, Sumeet Kumar Behera, Maksym Gorobeiko, Andrii Dinets

Abstract read
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Article in International journal of emergency medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Igor LurinNational Academy of Medical Sciences of Ukraine, Kyiv, Ukraine.ORCID http://orcid.org/0000-0001-6280-1725
Eduard KhoroshunDepartment of Thoraco-Abdominal Surgery, Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine, Kharkiv, Ukraine.
Vitalii MakarovDepartment of Thoraco-Abdominal Surgery, Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine, Kharkiv, Ukraine.
Volodymyr NehoduikoDepartment of Thoraco-Abdominal Surgery, Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine, Kharkiv, Ukraine.
Yurii BuninDepartment of Thoraco-Abdominal Surgery, Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine, Kharkiv, Ukraine.
Sumeet Kumar BeheraDepartment of Surgery, Verum Expert Clinic, 03039 Kyiv, vul. Demiїvska 13, Kyiv, Ukraine.
Maksym GorobeikoNational Academy of Medical Sciences of Ukraine, Kyiv, Ukraine.
Andrii DinetsNational Academy of Medical Sciences of Ukraine, Kyiv, Ukraine. andrii.dinets@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRussia-Ukraine war is associated with various kinds of ballistic injuries because of the application of all kinds of weapons. Gunshot injury to the heart and pericardium is rare and associated with high mortality. The video-assisted thoracoscopy surgery (VATS) is rarely performed in combat settings. The aim of the report was to investigate and demonstrate the approach to manage severe gunshot injury to the heart with damage to the pericardium by using VATS and surgical magnets in a combat patient injured in the battlefield area of the Russo-Ukrainian war. CASE PRESENTATION: A 43-year-old male patient received a gunshot injury to the chest in a battlefield area in East Ukraine. 60 min after the injury, the patient was evacuated to the forward surgical team. The patient was evaluated at the Role 3 hospital in Kharkiv. VATS pericardial window (fenestration) was performed, followed by removal of the bullet from the pericardial sac as well as chest re-draining by Bulau under general anesthesia. The patient was discharged on the 12th day after the injury.

conclusionsThe ballistic injuries in the ongoing Russo-Ukrainian war are severe and associated with rare wounds to the pericardium. The CT scan and X-ray under a C-arc machine are useful diagnostic tools for the identification of bullets or other projectiles. VATS and surgical magnets might be considered for selected patients for the management of gunshot injuries to the heart in combat patients.

Indexed as

Gunshot injury and VATSGunshot injury to chestGunshot injury to heartGunshot injury to pericardiumRusso-Ukrainian war

Identifiers

PMID41116181
PMCPMC12536522

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.