Removal of cardiothoracic war-related shrapnel using video-assisted thoracoscopic surgery [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. 2017; 23(4): 348-350 | DOI: 10.5505/tjtes.2016.67378  

Removal of cardiothoracic war-related shrapnel using video-assisted thoracoscopic surgery

Mohammed Khalifa1, Fikri M Abu-zidan2, Navidul Khan3, Edward Black1
1Department of Surgery, Surgical Institute, Al-Ain Hospital, Al-Ain-UAE
2Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, UAE
3Department of Pathology, Tawam Hospital, Al-Ain, UAE

This is the first report in the literature to describe removing war-related cardiothoracic shrapnel using video-assisted thoracoscopic surgery (VATS). War blast caused penetrating thoracic and extremity injuries in 30-year-old man. He was referred to our hospital after stabilization. Magnetic resonance imaging was required to evaluate brachial plexus injury. Large, penetrating shrapnel fragment in the right posterior chest wall, retained shrapnel in apex of the right lung, and another fragment in the pericardium were removed using VATS in staged approach. Postoperative period was uneventful. VATS is useful in managing complex, war-related cardiothoracic injuries.

Keywords: Blast, shrapnel, video assisted thoracoscopy, war.


Mohammed Khalifa, Fikri M Abu-zidan, Navidul Khan, Edward Black. Removal of cardiothoracic war-related shrapnel using video-assisted thoracoscopic surgery. Ulus Travma Acil Cerrahi Derg. 2017; 23(4): 348-350

Corresponding Author: Fikri M Abu-zidan, United Arab Emirates


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