Sirko, Andrii and Kyrpa, Ihor and Lazorishinets, Vasyl and Zorin, Mykola and Cherednychenko, Yuri and Plyushchev, Illya and Romanukha, Dmytro (2018) Successful surgical treatment of a patient with combined gunshot shrapnel injuries in the heart and brain complicated by middle cerebral artery pseudoaneurysm. Trauma Case Reports, Vol.18. pp. 17-23. ISSN 2352-6440
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Abstract
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).
| Item Type: | Article |
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| Additional Information: | https://doi.org/10.1016/j.tcr.2018.11.001 |
| Uncontrolled Keywords: | Gunshot wound, Craniocerebral shrapnel injury, Shrapnel injury of the heart, False aneurysm, Dissectional aneurysm, Middle cerebral artery. |
| Subjects: | Neurosurgery |
| Divisions: | Faculty of Postgraduate Education > Department of Neurology and Neurosurgery FPE |
| Depositing User: | Елена Шрамко |
| Date Deposited: | 19 Feb 2019 08:31 |
| Last Modified: | 19 Feb 2019 08:31 |
| URI: | http://repo.dma.dp.ua/id/eprint/3825 |
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