Cardiac evaluation following XXXX .

@entity1 @entity532 @entity1757 @entity997 @entity299 @entity715 @entity3697 @entity130
Both penetrating and blunt @entity299 require urgent management. @entity532 have been reported to occur in 4 to 56% of survivors and frequently required secondary surgical corrections. Between January 1980 and June 1984, 204 @entity1 presented with @entity3697 . One hundred twenty-eight of these @entity1 survived. Of the 90 undergoing cardiorrhaphy in the operating room, 78 survived. Two-dimensional (2-D) and pulsed-Doppler echocardiography (echo) and/or cardiac catheterization were performed in 40 @entity1 for suspected significant @entity130 . Eight of the 40 required secondary cardiac operations. Two-dimensional echo demonstrated pericardial effusion, abnormal chamber enlargement, abnormal cardiac wall motion, intracardiac missile, and @entity715 . Pulsed-Doppler findings included @entity1757 , @entity997 and right ventricular turbulence secondary to arteriovenous fistulae. Cardiac catheterization detected lesions undetected by 2-D echo in one @entity1 with a gunshot wound. It is concluded that in the absence of cardiac bullets seen on routine chest X-ray, 2-D with pulsed-Doppler echo is an excellent screening technique. With a positive echo study or a residual bullet overlying the cardiac silhouette, cardiac catheterization is indicated in selected @entity1 .
