pirogovestnikВестник Национального медико-хирургического центра им. Н.И. ПироговаBulletin of Pirogov National Medical & Surgical Center2072-82552782-3628Национальный медико-хирургический Центр им. Н.И. Пирогова10.25881/20728255_2026_21_3_154pirogovestnik-669Research ArticleКЛИНИЧЕСКИЕ НАБЛЮДЕНИЯCASE REPORTSРЕДКИЙ ВАРИАНТ ПРОНИКАЮЩЕГО РАНЕНИЯ СЕРДЦА (ОСКОЛОК И ФРАГМЕНТ ОДЕЖДЫ)A RARE VARIATION OF PENETRATING HEART WOUND (FRAGMENTS OF METAL AND CLOTHING)ДалининВ. В.DalininV. V.

Москва, Санкт-Петербург

Moscow, St. Petersburg

ТравинН. О.TravinN. O.

Москва

Moscow

dr.travin@mail.ruКрайнюковП. Е.KrayniukovP. E.

Москва

Moscow

БорисовИ. А.BorisovI. A.

Москва

Moscow

СалимовД. Ш.SalimovD. Sh.

Москва

Moscow

БрыкляЕ. В.BryklyaE. V.

Moscow

НестюковаП. С.NestyukovaP. S.

Moscow

ФКУ «Центральный военный клинический госпиталь им. П.В. Мандрыка»РоссияCentral Military Clinical Hospital named after P.V. MandrykaRussian FederationФКУ «Центральный военный клинический госпиталь им. П.В. Мандрыка»; ФГБОУ ВО «Российский университет дружбы народов»РоссияCentral Military Clinical Hospital named after P.V. Mandryka; Russian Peoples’ Friendship UniversityRussian Federation202603092026213154157Copyright © Далинин В.В., Травин Н.О., Крайнюков П.Е., Борисов И.А., Салимов Д.Ш., Брыкля Е.В., Нестюкова П.С., 20262026Далинин В.В., Травин Н.О., Крайнюков П.Е., Борисов И.А., Салимов Д.Ш., Брыкля Е.В., Нестюкова П.С.Dalinin V.V., Travin N.O., Krayniukov P.E., Borisov I.A., Salimov D.S., Bryklya E.V., Nestyukova P.S.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://submit.pirogov-vestnik.ru/jour/article/view/669

Представлено клиническое наблюдение минно-взрывного осколочного ранения органов грудной клетки, в том числе сердца, с фиксацией осколка в межжелудочковой перегородке. Пострадавший в стабильном состоянии оперирован через 3 недели после ранения. Интраоперационно, помимо металлического осколка, в сердце обнаружен фрагмент одежды. Инородные тела удалены. Послеоперационный период и реабилитация протекали без осложнений.

Приведены некоторые исторические и статистические сведения, относящиеся к проникающим ранениям сердца, в том числе неметаллической природы, освещены аспекты диагностики и тактики лечения.

This article presents a clinical case of a mine blast shrapnel wound to the chest organs, including the heart, with the fragment lodged in the interventricular septum. The patient, in stable condition, underwent surgery three weeks after the injury. Intraoperatively, in addition to a metal fragment, a fragment of clothing was found in the heart. The foreign bodies were removed. The postoperative period and rehabilitation were uneventful.

Some historical and statistical information related to penetrating wounds of the heart, including those of non-metallic nature, is presented, and aspects of diagnosis and treatment tactics are highlighted.

ранения сердцаметаллические осколкинеодимовый магнит текстиломагоссипибомасombat traumaheart woundsmetallic foreign bodiesneodymium magnettextilomagossipibomaReferencesШевченко Ю.Л. Ранения сердца (к 100-летию первой операции ушивания раны сердца). – СПб: Специальная литература, 1996. – 30 с.Shevchenko YuL. Heart wounds (on the 100-th anniversary of the first operation to suture a heart wound). St. Petersburg: Special Literature, 1996. 30 p. (In Russ.)Джанелидзе Ю.Ю. Раны сердца и их хирургическое лечение. – Ленинград: Издание Ленинградского медицинского журнала, 1927. – 336 с.Dzhanelidze YuYu. Heart wounds and their surgical treatment. Leningrad: Publication of the Leningrad Medical Journal, 1927. 336 p. (In Russ.)Benedetto U, Caputo M, Kosti A, et al. Cupid’s arrow retained in the heart. J Thorac Dis, 2019; 1(11): E1-E3. doi: 10.21037/jtd.2018.12.12.Benedetto U, Caputo M, Kosti A, et al. Cupid’s arrow retained in the heart. J Thorac Dis, 2019; 1(11): E1-E3. doi: 10.21037/jtd.2018.12.12.Symbas PN, Picone AL, Hatcher CR, et al. Cardiac missiles. A review of the literature and personal experience. Ann Surg, 1990; 211: 639-47.Symbas PN, Picone AL, Hatcher CR, et al. Cardiac missiles. A review of the literature and personal experience. Ann Surg, 1990; 211: 639-47.Actis Dato GM, Arslanian A, Marzio PD, Filosso PL, Ruffini E. Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature. J Thorac Cardiovasc Surg, 2003; 126: 408-14. doi: 10.1016/S0022-5223(03)00399-4.Actis Dato GM, Arslanian A, Marzio PD, Filosso PL, Ruffini E. Posttraumatic and iatrogenic foreign bodies in the heart: report of fourteen cases and review of the literature. J Thorac Cardiovasc Surg, 2003; 126: 408-14. doi: 10.1016/S0022-5223(03)00399-4.Madani M, Drissi M, Ajaja MR, et al. Nail gun may cause heart injury: A young adult’s misadventure. Intern Emerg Nurs, 2012; 2(20): 98-101. doi: 10.1016/j.ienj.2011.06.006.Madani M, Drissi M, Ajaja MR, et al. Nail gun may cause heart injury: A young adult’s misadventure. Intern Emerg Nurs, 2012; 2(20): 98-101. doi: 10.1016/j.ienj.2011.06.006.Soren S, Surjit, Chaudhury S, et al. Multiple self-inserted pins and nails in pericardium in a patient of schizophrenia: case report and review. Ind Psychiatry J, 2015; 24: 82-7. doi: 10.4103/0972-6748.160959.Soren S, Surjit, Chaudhury S, et al. Multiple self-inserted pins and nails in pericardium in a patient of schizophrenia: case report and review. Ind Psychiatry J, 2015; 24: 82-7. doi: 10.4103/0972-6748.160959.Supomo; Darmawan H. An Unusual Foreign Body in the Heart: A Case Report. Ann Thorac Cardiovasc Surg, 2018; 4(24): 205-207. doi: 10.5761/atcs.cr.17-00117.Supomo; Darmawan H. An Unusual Foreign Body in the Heart: A Case Report. Ann Thorac Cardiovasc Surg, 2018; 4(24): 205-207. doi: 10.5761/atcs.cr.17-00117.Hsia RY, Mahadevan SV, Brundage SI. Penetrating Cardiac Injury from a Wooden Knitting Needle. J Emerg Med, 2012; 1(43): 116-9. doi: 10.1016/j.jemermed.2010.06.027.Hsia RY, Mahadevan SV, Brundage SI. Penetrating Cardiac Injury from a Wooden Knitting Needle. J Emerg Med, 2012; 1(43): 116-9. doi: 10.1016/j.jemermed.2010.06.027.Li Y, Jingfeng W, Wei W. Echocardiographic detection of intracardiac non-metallic foreign body complicated by infective endocarditis, European Heart Journal, 2007; 1(28): 58. doi: 10.1093/eurheartj/ehl168.Li Y, Jingfeng W, Wei W. Echocardiographic detection of intracardiac non-metallic foreign body complicated by infective endocarditis, European Heart Journal, 2007; 1(28): 58. doi: 10.1093/eurheartj/ehl168.Yang X, Shen X. A piece of glass in the heart. Ann Thorac Surg, 2006; 81(1): 335-6. doi: 10.1016/j.athoracsur.2004.10.007.Yang X, Shen X. A piece of glass in the heart. Ann Thorac Surg, 2006; 81(1): 335-6. doi: 10.1016/j.athoracsur.2004.10.007.Papadopoulos G, Kouerinis IA, Giannakopoulou A, et al. Tropical plant needle causing recurrent cardiac tamponade in a pediatric patient. The Journal of Trauma: Injury, Infection, and Critical Care. 2010; 4(69): E35. doi: 10.1097/TA.0b013e3181825beb.Papadopoulos G, Kouerinis IA, Giannakopoulou A, et al. Tropical plant needle causing recurrent cardiac tamponade in a pediatric patient. The Journal of Trauma: Injury, Infection, and Critical Care. 2010; 4(69): E35. doi: 10.1097/TA.0b013e3181825beb.Bariş VÖ, Özcan ÖU, Akbulut IM, et al. An unusual cause of heart failure: Cardiac textiloma. Turk Kardiyoloji Dernegi Arsivi, 2014; 7(42): 686. doi: 10.5543/tkda.2014.29165.Bariş VÖ, Özcan ÖU, Akbulut IM, et al. An unusual cause of heart failure: Cardiac textiloma. Turk Kardiyoloji Dernegi Arsivi, 2014; 7(42): 686. doi: 10.5543/tkda.2014.29165.Bois MC, Bois JP, Mankad SV, et al. Retained surgical sponge. Cardiovascular Pathology, 2017; 27: 43-4. doi: 10.1016/j.carpath.2017.01.002.Bois MC, Bois JP, Mankad SV, et al. Retained surgical sponge. Cardiovascular Pathology, 2017; 27: 43-4. doi: 10.1016/j.carpath.2017.01.002.Tavoosi A, Salehi M, Sardari A, et al. What thought to be a cardiac tumor turns out to be a remnant of former surgery. ARYA Atherosclerosis, 2020; 5(16): 1-3. doi: 10.22122/arya.v16i5.1965.Tavoosi A, Salehi M, Sardari A, et al. What thought to be a cardiac tumor turns out to be a remnant of former surgery. ARYA Atherosclerosis, 2020; 5(16): 1-3. doi: 10.22122/arya.v16i5.1965.Mollberg NM, Nathan M, Wise SR. Chest computed tomography for penetrating thoracic trauma after normal screening chest roentgenogram. Ann Thorac Surg, 2012; 6(93): 1830-5. doi: 10.1016/j.athoracsur.2012.02.095.Mollberg NM, Nathan M, Wise SR. Chest computed tomography for penetrating thoracic trauma after normal screening chest roentgenogram. Ann Thorac Surg, 2012; 6(93): 1830-5. doi: 10.1016/j.athoracsur.2012.02.095.Gunn ML Current concepts in imaging evaluation of penetrating transmediastinal injury. Radiographics, 2014; 7(34): 1824-41. doi: 10.1148/rg.347130022.Gunn ML Current concepts in imaging evaluation of penetrating transmediastinal injury. Radiographics, 2014; 7(34): 1824-41. doi: 10.1148/rg.347130022.Plurad DS, Bricker S, Van Natta TL, et al. Penetrating cardiac injury and the significance of chest computed tomography findings. Emerg Radiol, 2013; 4(20): 279-84. doi: 10.1007/s10140-013-1113-0.Plurad DS, Bricker S, Van Natta TL, et al. Penetrating cardiac injury and the significance of chest computed tomography findings. Emerg Radiol, 2013; 4(20): 279-84. doi: 10.1007/s10140-013-1113-0.Далинин В.В., Крайнюков П.Е., Травин Н.О. и др. Особенности ранения и извлечения осколка из межжелудочковой перегородки // Вестник Национального медико-хирургического Центра им. Н.И. Пирогова. – 2026. – Т.21. – №1. – С.151-154. doi: 10.25881/20728255_2026_21_1_151.Dalinin VV, Kraynyukov PE, Travin NO, et al. Features of injury and extraction of a metallic fragment from the interventricular septum. Bulletin of the National Medical and Surgical Center named after N.I. Pirogov, 2026; 1(21): 151-4. (In Russ.). doi: 10.25881/20728255_2026_21_1_151.Шевченко Ю.Л. Хирургическое лечение инфекционного эндокардита и основы гнойно-септической кардиохирургии. – М.: Династия, 2020. – 448 с.Shevchenko YUL. Khirurgicheskoye lecheniye infektsionnogo endokardita i osnovy gnoyno-septicheskoy kardiokhirurgii. M.: Dinastiya, 2020. 448 s. (In Russ.)

The authors declare that there are no conflicts of interest present.