Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm

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. Endovasc...

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Autores principales: Sirko, Andrii, Kyrpa, Ihor, Lazorishinets, Vasyl, Zorin, Mykola, Cherednychenko, Yuri, Plyushchev, Illya, Romanukha, Dmytro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2018
Materias:
Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258127/
https://www.ncbi.nlm.nih.gov/pubmed/30511007
http://dx.doi.org/10.1016/j.tcr.2018.11.001
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author Sirko, Andrii
Kyrpa, Ihor
Lazorishinets, Vasyl
Zorin, Mykola
Cherednychenko, Yuri
Plyushchev, Illya
Romanukha, Dmytro
author_facet Sirko, Andrii
Kyrpa, Ihor
Lazorishinets, Vasyl
Zorin, Mykola
Cherednychenko, Yuri
Plyushchev, Illya
Romanukha, Dmytro
author_sort Sirko, Andrii
collection PubMed
description 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).
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spelling pubmed-62581272018-12-03 Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm Sirko, Andrii Kyrpa, Ihor Lazorishinets, Vasyl Zorin, Mykola Cherednychenko, Yuri Plyushchev, Illya Romanukha, Dmytro Trauma Case Rep Article 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). Elsevier 2018-11-24 /pmc/articles/PMC6258127/ /pubmed/30511007 http://dx.doi.org/10.1016/j.tcr.2018.11.001 Text en © 2018 The Authors http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Article
Sirko, Andrii
Kyrpa, Ihor
Lazorishinets, Vasyl
Zorin, Mykola
Cherednychenko, Yuri
Plyushchev, Illya
Romanukha, Dmytro
Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
title Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
title_full Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
title_fullStr Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
title_full_unstemmed Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
title_short Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
title_sort successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6258127/
https://www.ncbi.nlm.nih.gov/pubmed/30511007
http://dx.doi.org/10.1016/j.tcr.2018.11.001
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