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Journals / Çukurova Anestezi ve Cerrahi Bilimler Dergisi / 2026 / Cilt: 9 Sayı: 3

Outcomes of Post-Traumatic Cardiac Injury: A 17-Year Retrospective Study at Tertiary Centers

Travma Sonrası Kalp Hasarının Sonuçları: Üçüncü Basamak Merkezlerde 17 Yıllık Retrospektif Çalışma

Yasin Güzel(Çukurova Üniversitesi Tıp Fakültesi Kalp Damar Cerrahi Anabilim Dalı)0000-0003-4883-8235
Mustafa Kemal Avşar(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0002-4151-8928
Alper Avci(BAŞKENT ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-9337-3030
Rabia Eker Akilli(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-4922-6556
Ferhat Can Pişkin(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-4092-1077
Hafize Yalınız(ÇUKUROVA ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0001-6848-2577
Pages
601–611
Publication Date
2026-09-30
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Overall mortality was 8.3% (early 5.5%, late 2.8%), with most deaths related to great vessel or multi-organ injuries.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: To evaluate demographics, injury patterns, diagnostics, surgical strategies, and outcomes in cardiac trauma managed at tertiary hospitals, and to contextualize findings against contemporary literature.
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Key Findings & Data:Materials and Methods: This retrospective observational study included 108 patients with consecutive cardiac injury cases from January 2006 to December 2022.
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Conclusion & Impact:Overall mortality was 8.3% (early 5.5%, late 2.8%), with most deaths related to great vessel or multi-organ injuries.
🔬Design:Araştırma Makalesi
📍Scope:2006 Verileri
⚙️Variables:Kalp yaralanmaları · Künt travma · Penetran yaralanma

Abstract

Objective: To evaluate demographics, injury patterns, diagnostics, surgical strategies, and outcomes in cardiac trauma managed at tertiary hospitals, and to contextualize findings against contemporary literature. Materials and Methods: This retrospective observational study included 108 patients with consecutive cardiac injury cases from January 2006 to December 2022. Inclusion required confirmed cardiac involvement by echocardiography, computed tomography, intraoperative findings, or autopsy, with complete clinical records. Data included mechanism and location of injury, diagnostics (ECG, FAST, echocardiography, CT, angiography), interventions, complications, and mortality. Results: Among 108 patients (87% male; mean age 34.8±12.6 years), penetrating injuries were most common (51%; knives 64%, firearms 29%), with all blunt injuries caused by traffic accidents. The right ventricle was the most frequently injured (32%), followed by the left ventricle (15%) and atria (12%). Coronary (4%) and great vessel (3%) injuries were less frequent. FAST was positive for tamponade/hemopericardium in 82% of cases; echocardiography detected pericardial effusion (18%) and valve lesions (7%). Sternotomy was performed in 64%, thoracotomy in 21%, and pericardial window or drainage in 10%; myocardial laceration repair was most common, with Teflon-felt support used in 12%. Complications occurred in 27% of cases, including arrhythmias (15%), effusions (8%), and infections (7%). Overall mortality was 8.3% (early 5.5%, late 2.8%), with most deaths related to great vessel or multi-organ injuries. Conclusion: Standardized, rapid diagnostic pathways (notably FAST) and hemodynamics-guided surgical strategies, including damage control principles, are associated with comparatively low mortality rates in cardiac trauma. Multidisciplinary protocols may further improve outcomes.

Özet

Amaç: Üçüncü basamak hastanelerde tedavi edilen kardiyak travmalarda demografik özellikleri, yaralanma paternlerini, tanıları, cerrahi stratejileri ve sonuçları değerlendirmek ve bulguları güncel literatürle karşılaştırmak. Gereç ve Yöntem: Bu retrospektif gözlemsel çalışma, Ocak 2006'dan Aralık 2022'ye kadar ardışık kardiyak yaralanma vakaları olan 108 hastayı içermektedir. Çalışmaya dahil edilme kriteri, ekokardiyografi, bilgisayarlı tomografi, intraoperatif bulgular veya otopsi ile doğrulanmış kardiyak tutulum ve eksiksiz klinik kayıtların olmasıydı. Veriler arasında yaralanma mekanizması ve yeri, tanılar (EKG, FAST, ekokardiyografi, BT, anjiyografi), müdahaleler, komplikasyonlar ve mortalite yer almaktadır. Bulgular: 108 hasta (erkeklerin oranı %87; ortalama yaş 34,8±12,6) arasında, penetran yaralanmalar en yaygın olanıydı (%51; bıçak %64, ateşli silah %29), tüm künt yaralanmalar trafik kazalarından kaynaklanıyordu. En sık yaralanan bölge sağ ventrikül (%32) idi, bunu sol ventrikül (%15) ve atriyum (%12) izliyordu. Koroner (4%) ve büyük damar (3%) yaralanmaları daha az sıklıkta görüldü. FAST, vakaların %82'sinde tamponad/hemoperikardiyum için pozitifti; ekokardiyografi, perikardiyal efüzyon (%18) ve kapak lezyonları (%7) tespit etti. %64'ünde sternotomi, %21'inde torakotomi ve %10'unda perikardiyal pencere veya drenaj uygulandı; miyokardiyal laserasyon onarımı en yaygın olanıydı ve %12'sinde Teflon keçe desteği kullanıldı. Vakaların %27'sinde aritmiler (%15), efüzyonlar (%8) ve enfeksiyonlar (%7) dahil olmak üzere komplikasyonlar görüldü. Genel mortalite %8,3 (erken %5,5, geç %2,8) idi ve ölümlerin çoğu büyük damar veya çoklu organ yaralanmalarıyla ilişkiliydi. Sonuç: Standartlaştırılmış, hızlı tanı yolları (özellikle FAST) ve hasar kontrol ilkeleri dahil olmak üzere hemodinamik kılavuzlu cerrahi stratejiler, kardiyak travmada nispeten düşük mortalite oranları ile ilişkilidir. Multidisipliner protokoller sonuçları daha da iyileştirebilir.

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Cite This Article

Güzel, Y., Avşar, M. K., Avci, A., Akilli, R. E., Pişkin, F. C., Yalınız, H. (2026). Outcomes of Post-Traumatic Cardiac Injury: A 17-Year Retrospective Study at Tertiary Centers. Çukurova Anestezi ve Cerrahi Bilimler Dergisi, Cilt: 9 Sayı: 3, 601–611. https://doi.org/10.36516/jocass.1776794

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