DIAGNOSTIC EFFICACY AND PROGNOSTIC VALUE OF CT OF THE CHEST CAVITY IN THE DIAGNOSIS OF A GUNSHOT INJURY OF THE HEART
https://doi.org/10.25881/20728255_2025_20_1_24
Abstract
The features of displaying an unchanged pericardium on CT scans performed in the standard examination mode for the thoracic cavity were studied. CT scan of signs of pericardial injury and features of their visualization were determined. It has been proven that CT of the chest cavity, performed in the standard scanning mode, allows diagnosing a bruised heart in case of gunshot wounds. The diagnostic effectiveness and prognostic value of the method are 87,5% and 53,2%, respectively.
About the Authors
M. I. Akhiev
A.A. Vishnevsky National Medical Research Center for High Medical Technologies – Central Military Clinical Hospital;
Branch of the Military Medical Academy named after S.M. Kirov
Russian Federation
Russian Federation
Krasnogorsk;
Moscow
V. M. Kitaev
A.A. Vishnevsky National Medical Research Center for High Medical Technologies – Central Military Clinical Hospital
Russian Federation
Russian Federation
Krasnogorsk
References
1. Tyurin MV. Morfofunktsional’naya kharakteristika tupoy travmy grudnoy kletki, zashchishchennoy bronezhiletom: [dissertation]. L., 1987. (In Russ.)
2. Kyriazidis IP, Jakob DA, Vargas JAH, Franco OH, et al. Accuracy of diagnostic tests in cardiac injury after blunt chest trauma: a systematic review and meta-analysis. World J Emerg Surg. 2023; 18(1): 36.
3. Samokhvalov IM, Gavrilin SV, Kuz’min AYA, et al. Ushib serdtsa pri ognestrel’nykh raneniyakh. Voyen.-med. zhurn. 2018; 9: 21-28. (In Russ.)
4. Mereskin NA, Svetlakov VI. Opyt diagnostiki i lecheniya raneniy serdtsa. Voyen.-med. zhurn. 1991;8: 27-29. (In Russ.)
5. Bisenkov LN, Tynyankin NA, Said KHA. Osobennosti diagnostiki i lecheniya ushibov serdtsa ognestrel’nogo proiskhozhdeniya. Voyen.-med. zhurn. 1992; 4-5: 57-60. (In Russ.)
6. Rizzo AN, Epstein DA, Salamon T, Beery PR. Gunshot Wound to the Right Superior Pulmonary Vein With Bullet Embolization to the Aortic Bifurcation: Emergent Surgical Repair. Vasc Endovascular Surg. 2023; 57(1): 75-78. doi: 10.1177/15385744221124295.
7. Stazhadze LL, Spiridonova YeA, Lachayeva MA, et al. Informatsionnaya tsennost’ EKG u postradavshikh s zakrytoy travmoy grudi na dogospital’nom etape. Vestnik intensivnoy terapii. 2005; 2: 51-55. (In Russ.)
8. Kawall T, Seecheran RV, Seecheran VK, et al. Shot to the Heart: Case Report and Concise Review of Cardiac Gunshot Injury. J Investig Med High Impact Case Rep. 2020; 8: 2324709620951652. doi: 10.1177/2324709620951652.
9. Sağlam Gürmen E, Tulay C.M. Attention: Cardiac contusion. Ulus Travma Acil Cerrahi Derg. 2022; 28(5): 634-640. doi: 10.14744/tjtes.2021.11290.
10. Korotayeva DV. Kliniko-laboratornyye i instrumental’nyye kharakteristiki kak markery ushiba serdtsa pri zakrytoy travme grudnoy kletki. Kardiovaskulyarnaya terapiya i profilaktika. 2014; 13(S2): 62. (In Russ.)
11. Novoselov VP, Savchenko SV, Porvin AN, Koshlyak DA. Ul’trazvukovaya kharakteristika miokarda pri mekhanicheskoy travme serdtsa v eksperimente. Sibirskiy nauch. med. zhurn. 2016; 36(2): 5-11. (In Russ.)
12. Denisov AV, Kuz’min AYA, Gavrilin SV, et al. Ushib serdtsa pri zakrytykh travmakh grudi: etiologiya, diagnostika, tyazhest’ povrezhdeniya serdtsa (obzor literatury). Voyen. -med. zhurn. 2018; 8: 24-32. (In Russ.)
13. Gosavi S, Tyroch AH, Mukherjee D. Cardiac Trauma. Angiology. 2016; 67(10): 896-901. doi: 10.1177/0003319715627954.
14. Adigopula S, Medepalli LC. Gunshot-Related Cardiac Trauma: A Multidisciplinary Approach Using Multimodality Imaging. JACC Case Rep. 2021; 3(1): 31-33. doi: 10.1016/j.jaccas.2020.12.006.
15. Bisenkov LN. Khirurgiya minno-vzryvnykh raneniy. SPb: Logos., 1993. 320 р. (In Russ.)
16. Bisenkov LN. Neotlozhnaya khirurgiya grudi. SPb., 1995. 234 р. (In Russ.)
17. Ivanitskaya MA. Rentgenodiagnostika zabolevaniya serdtsa. M., 1970. (In Russ.)
Review
For citations:
Akhiev M.I., Kitaev V.M. DIAGNOSTIC EFFICACY AND PROGNOSTIC VALUE OF CT OF THE CHEST CAVITY IN THE DIAGNOSIS OF A GUNSHOT INJURY OF THE HEART. Bulletin of Pirogov National Medical & Surgical Center. 2025;20(1):24-31. (In Russ.) https://doi.org/10.25881/20728255_2025_20_1_24
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