РОСБИОТЕХ
Bulletin of the Medical Institute of Continuing Education
SURGERY

Clinical case

УДК 616-001.45

Included in the list of the Higher Attestation Commission
3.1.9. Surgery

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Public license
CC BY-NC-ND 4.0

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Creative Commons 4.0 License

ACUTE MYOCARDIAL INFARCTION DUE TO A GUNSHOT WOUND TO THE CHEST: A CLINICAL CASE AND REVIEW OF MANAGEMENT TACTICS

R.M. Shabaevorcid, A.V. Ivanovorcid, G.A.Gromykoorcid, N.I. Gulyaevorcid, G.A. Esionorcid

DOI

ABSTRACT

Background. Acute myocardial infarction (AMI) caused by a penetrating chest wound, is an extremely rare and dangerous condition.

Purpose. To demonstrate the possibility of using high-tech medical care in acute myocardial infarction resulting from a penetrating chest injury.

Materials and methods. Based on the presented clinical case of a 42-year-old patient with a mine-explosive chest wound, a step-by-step examination (laboratory tests, ECG, EchoCG, CT angiography, coronary angiography, myocardial scintigraphy) and comprehensive treatment are described in detail. The tactics included emergency percutaneous coronary intervention with stenting of the damaged artery with drug- coated stents and subsequent implantation of a cardioverter defibrillator to relieve severe rhythm disturbances.

Results. The use of a multidisciplinary approach and modern endovascular technologies has made it possible to restore the patency of the coronary artery, eliminate the threat of the pseudoaneurysm rupture, stop conduction disturbances and prevent fatal complications.

Conclusion. This clinical case confirms that timely diagnosis (including mandatory troponin and ECG testing) and comprehensive treatment using high-tech interventions are key to successful treatment of traumatic AMI. This experience motivates the need for further development of standardized clinical algorithms for managing such patients and poses new challenges for assessing long-term outcomes and improving diagnostic and treatment methods.

ABOUT AUTHORS

R.M. Shabaev Cand.Sci.(Med.)

Associate Professor of the Department of X-ray Endovascular Diagnostics and Treatment Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH); Moscow, Russia

Doctor of X-ray endovascular diagnostics and treatment of National Medical Research Center for High Medical Technologies named after A.A. Vishnevsky , the Russian Ministry of Defense; Krasnogorsk, Russia

https://orcid.org/0000-0002-9595-3028 | eLIBRARY SPIN-код: 7742-3423 | eLIBRARY AuthorID: 1160494 | Web of Science Researcher ID: GPC-8558-2022

A.V. Ivanov

Head of the Department of X-ray Endovascular Diagnostics and Treatmen Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH); Moscow, Russia

Head of the Department of X-ray surgical methods of diagnosis and treatment; National Medical Research Center for High Medical Technologies named after A.A. Vishnevsky

Branch of the Military Medical Academy named after S.M. Kirov, the Russian Ministry of Defense; Moscow, Russia

Peoples' Friendship University of Russia; Moscow, Russia

https://orcid.org/0000-0002-3214-2375 | SPIN-код: 4199-2510

G.A.Gromyko Cand.Sci.(Med.)

Head of the Department of Cardiovascular Surgery Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH); Moscow, Russia

Head of the Cardiac Surgery Department for the Treatment of Heart Rhythm Disorders National Medical Research Center for High Medical Technologies named after A.A. Vishnevsky

Peoples' Friendship University of Russia; Moscow, Russia

https://orcid.org/0000-0002-7942-9795

N.I. Gulyaev Dr.Sci.(Med.)

Head of the Cardiology Center National Medical Research Center for High Medical Technologies named after A.A. Vishnevsky the Russian Ministry of Defense; Krasnogorsk, Russia

Medical Institute of Continuing Education, Russian Biotechnological University (ROSBIOTECH); Moscow, Russia

Branch of the Military Medical Academy named after S.M. Kirov, the Russian Ministry of Defense; Moscow, Russia

https://orcid.org/0000-0002-7578-8715 | SCOPUS Author ID 5687885000

G.A. Esion

Doctor of the cardiac surgery department, cardiac surgeon National Medical Research Center for High Medical Technologies named after A.A. Vishnevsky, the Russian Ministry of Defense; Krasnogorsk, Russia

https://orcid.org/0000-0003-4455-0357

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KEYWORDS: acute myocardial infarction, foreign body of the heart, high-tech medical care, coronary artery pseudoaneurysm, post-traumatic arrhythmia, cardiac pseudoaneurysm stenting

CORRESPONDENCE: Rafael M. Shabaev, e-mail: rafael.shabaev@yandex.ru

FOR CITATIONS: Shabaev R.M., Ivanov A.V., Gromyko G.A. [et al.] Acute Myocardial Infarction due to a Gunshot Wound to the Chest: A Clinical Case and Review of Management Tactics // Bulletin of the Medical Institute of Continuing Education. — 2025. — V. 5, No. 4. — S. 40–47. — DOI 10.36107/2782-1714_2025-5-4-40-47.

FUNDING SOURCE: The authors declare no funding for the study.

DECLARATION OF COMPETING INTEREST: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

DATA AVAILABILITY STATEMENT: Data from the current study are available from the corresponding author upon reasonable request.

AUTHOR CONTRIBUTIONS

R.M. Shabaev — patient selection, examination and treatment; collection of clinical material; review of publications on the topic of the article; writing the manuscript; preparation of illustrations.

A.V. Ivanov — patient selection, examination, and treatment; review of publications on the topic of the article; writing the text: review and editing.

G.A.Gromyko — approval of the manuscript for publication; checking for critical content.

N.I. Gulyaev — approval of the manuscript for publication; preparation of illustrations.

G.A. Esion — approval of the manuscript for publication; review and editing.

INFORMED CONSENT FOR PUBLICATION: authors received written consent from patients for publication of medical data and photographs.

COMPLIANCE WITH ETHICAL PRINCIPLES: The study conducted complies with the standards of the Declaration of Helsinki (Declaration Helsinki) as amended in 2024. The study protocol's compliance with ethical principles was confirmed by the Local Ethics Committee Medical Institute of Continuing Education, Russian Biotechnology University (ROSBIOTECH) on (Volokolamskoe highway, 11, Moscow, Russia), protocol №12/7-4 from 28 october 2025.