{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T17:11:14Z","timestamp":1760202674867,"version":"3.37.3"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/3.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Reports in Surgery"],"published-print":{"date-parts":[[2014]]},"abstract":"Cardiac injuries caused by knives and firearms are slightly increasing in our environment. We report the case of a 43-year-old male patient with a transmediastinal gunshot wound (TGSW) and a through-and-through cardiac wound who was hemodynamically stable upon his admission. He had an entrance wound below the left clavicle, with no exit wound, and decreased breath sounds in the right hemithorax. Chest X-ray showed the bullet in the right hemithorax and large right hemothorax. The ultrasound revealed pericardial effusion, and a chest tube produced 1500\u2009cc. of blood, but he remained hemodynamically stable. Considering these findings, a median sternotomy was carried out, the through-and-through cardiac wounds were suture-repaired, lung laceration was sutured, and a pacemaker was placed in the right ventricle. The patient had uneventful recovery and was discharged home on the twelfth postoperative day. The management and prognosis of these patients are determined by the hemodynamic situation upon arrival to the Emergency Department (ED), as well as a prompt surgical repair if needed. Patients with a TGSW have been divided into three groups according to the SBP: group I, with SBP><\/mml:mo>100<\/mml:mn><\/mml:math>\u2009mmHg; group II, with SBP 60\u2013100\u2009mmHg; and group III, with SBP<<\/mml:mo>60<\/mml:mn><\/mml:math>\u2009mmHg. The diagnostic workup and management should be tailored accordingly, and several series have confirmed high chances of success with conservative management when these patients are hemodynamically stable.<\/jats:p>","DOI":"10.1155\/2014\/985097","type":"journal-article","created":{"date-parts":[[2014,8,17]],"date-time":"2014-08-17T17:09:42Z","timestamp":1408295382000},"page":"1-3","source":"Crossref","is-referenced-by-count":3,"title":["Transmediastinal and Transcardiac Gunshot Wound with Hemodynamic Stability"],"prefix":"10.1155","volume":"2014","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5440-3660","authenticated-orcid":true,"given":"Leire","family":"Zarain Obrador","sequence":"first","affiliation":[{"name":"Servicio de Cirug\u00eda General II, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, 28009 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yusef Mohamed","family":"Al-Lal","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda General II, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, 28009 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge","family":"de Tom\u00e1s Palacios","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda General II, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, 28009 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"I\u00f1aki","family":"Amunategui Prats","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda General II, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, 28009 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Tur\u00e9gano Fuentes","sequence":"additional","affiliation":[{"name":"Servicio de Cirug\u00eda General II, Hospital General Universitario Gregorio Mara\u00f1\u00f3n, 28009 Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e318187a2d2"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/S0300-8932(00)75146-3"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2012.12.014"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.05.107"},{"issue":"3","key":"5","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1097\/00005373-200003000-00008","volume":"48","year":"2000","journal-title":"Journal of Trauma"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-200210000-00003"},{"issue":"1","key":"7","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1177\/145749690209100107","volume":"91","year":"2002","journal-title":"Scandinavian Journal of Surgery"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1067\/men.2002.129708"}],"container-title":["Case Reports in Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/985097.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/985097.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/cris\/2014\/985097.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,13]],"date-time":"2019-08-13T22:32:35Z","timestamp":1565735555000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.hindawi.com\/journals\/cris\/2014\/985097\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014]]},"references-count":8,"alternative-id":["985097","985097"],"URL":"https:\/\/doi.org\/10.1155\/2014\/985097","relation":{},"ISSN":["2090-6900","2090-6919"],"issn-type":[{"type":"print","value":"2090-6900"},{"type":"electronic","value":"2090-6919"}],"subject":[],"published":{"date-parts":[[2014]]}}}