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Ann Thorac Surg 2004;77:1083-1085
© 2004 The Society of Thoracic Surgeons

Case report

Intracardiac shrapnel in a polytraumatized child

Hrvoje Gasparovic, MDa*, Ranka Stern-Padovan, MD, PhDb, Stipe Batinica, MD, PhDa, Dalibor Saric, MDa, Ivan Jelic, MD, PhDa

a Department of Cardiac Surgery, University Hospital Rebro, Kispaticeva 12, Zagreb, Croatia
b Department of Radiology, University Hospital Rebro, Zagreb, Croatia

Accepted for publication April 8, 2003.

* Address reprint requests to Dr Gasparovic, Vinkoviceva 13, 10000 Zagreb, Croatia
e-mail: hgasparovic{at}yahoo.com

Penetrating cardiac trauma is a life-threatening condition and presents a therapeutic challenge for the surgeon. Additional multiple organ-system injuries, as are common in the setting of war, further complicate the management of such patients. We present the case of a 9-year-old girl who sustained multiple injuries from an unexploded artillery shell, resulting in a retained intracardiac shrapnel. Her cardiac pathology consisted of a shrapnel located in the interventricular septum accompanied by a pneumopericardium and a right-sided hemopneumothorax. The presentation and management of this patient are the subjects of this report.






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