1. Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
- Author
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Illya Plyushchev, Andrii Sirko, Mykola Zorin, Vasyl Lazorishinets, Ihor Kyrpa, Dmytro Romanukha, and Yuri Cherednychenko
- Subjects
medicine.medical_specialty ,Gunshot wound ,lcsh:Surgery ,0211 other engineering and technologies ,Middle cerebral artery ,02 engineering and technology ,Critical Care and Intensive Care Medicine ,Article ,Craniocerebral shrapnel injury ,Titanium plate ,03 medical and health sciences ,Pseudoaneurysm ,0302 clinical medicine ,False aneurysm ,medicine.artery ,Cranial vault ,medicine ,Orthopedics and Sports Medicine ,cardiovascular diseases ,Surgical treatment ,021110 strategic, defence & security studies ,business.industry ,Shrapnel injury of the heart ,Multimodal therapy ,lcsh:RD1-811 ,medicine.disease ,Dissectional aneurysm ,cardiovascular system ,Emergency Medicine ,Radiology ,Neurosurgery ,business ,030217 neurology & neurosurgery - Abstract
Summary: Successful step-by-step treatment of a combined gunshot shrapnel injury of the brain, damaging the left middle cerebral artery (MCA) branches, and penetrating myocardium injury is discussed. Open brain and heart surgeries were performed. A left MCA pseudoaneurysm was formed postoperatively. Endovascular exclusion of the left MCA pseudoaneurysm was performed using detachable micro coils. Finally, plastic reconstruction of the posttraumatic cranial vault defect was performed using a dynamic titanium plate.Treatment of severe combined gunshot shrapnel brain injury with formation of MCA pseudoaneurysm and a penetrating myocardium injury requires a multimodal approach involving related specialists (neurosurgeon, cardiosurgeon and interventional radiologist). Keywords: Gunshot wound, Craniocerebral shrapnel injury, Shrapnel injury of the heart, False aneurysm, Dissectional aneurysm, Middle cerebral artery
- Published
- 2018
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