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Revista do Colégio Brasileiro de Cirurgiões

Print version ISSN 0100-6991On-line version ISSN 1809-4546

Abstract

GOES JUNIOR, Adenauer Marinho de Oliveira et al. The use of computed tomography for penetrating heart injury screening. Rev. Col. Bras. Cir. [online]. 2019, vol.46, n.3, e20192154.  Epub July 10, 2019. ISSN 1809-4546.  https://doi.org/10.1590/0100-6991e-20192154.

Objective:

to determine if computed tomography represents a safe option for penetrating heart injury screening.

Methods:

retrospective transversal study which confronted tomographic findings with the ones detected in surgical exploration in patients that had undergone surgery because of suspected cardiac trauma from January, 2016 to January, 2018.

Results:

seventy-two cases were analysed; 97.2% of them were males, and the most prevalent age range was 20 to 29 years; 56.9% of them presented injuries caused by firearm shots and 43.1% by cutting weapons. In 20 cases, computed tomography suggested heart injury, confirmed in 13 cases during surgery. Sensitivity of computed tomography was 56.5%, reaching a specificity of 85.7%.

Conclusion:

computed tomography must not be adopted as a routine for the screening of penetrating heart injuries.

Keywords : Heart; Wounds and Injuries; Heart Injuries; Tomography; Diagnosis.

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