<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>1870-7203</journal-id>
<journal-title><![CDATA[Acta médica Grupo Ángeles]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd. Grupo Ángeles]]></abbrev-journal-title>
<issn>1870-7203</issn>
<publisher>
<publisher-name><![CDATA[Grupo Ángeles, Servicios de Salud]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S1870-72032017000100057</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Herida penetrante del tórax por un proyectil de arma de fuego localizado inicialmente en el ventrículo izquierdo y luego en la arteria renal derecha]]></article-title>
<article-title xml:lang="en"><![CDATA[Penetrating wound of the thorax by a firearm projectile located initially in the left ventricle and later in the right renal artery]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cosío Lima]]></surname>
<given-names><![CDATA[Ludmila]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gámiz González]]></surname>
<given-names><![CDATA[Raúl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cosío Pascal]]></surname>
<given-names><![CDATA[Miguel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,University of West Florida  ]]></institution>
<addr-line><![CDATA[ FL]]></addr-line>
<country>USA</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,IMSS CMN Unidad de Gineco-Obstetricia]]></institution>
<addr-line><![CDATA[Ciudad de México ]]></addr-line>
<country>Mexico</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Ángeles Mocel Ciudad de México ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>02</month>
<year>2017</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>02</month>
<year>2017</year>
</pub-date>
<volume>15</volume>
<numero>1</numero>
<fpage>57</fpage>
<lpage>60</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S1870-72032017000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S1870-72032017000100057&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S1870-72032017000100057&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen: Objetivo: Presentar un caso de herida penetrante del corazón con migración del proyectil y comentar los criterios actuales para el manejo de este tipo de pacientes. Las heridas por proyectil de arma de fuego penetrantes a tórax cada día son más frecuentes en todo el mundo y traen aparejada una mortalidad considerable, ya que el calibre y el poder de las armas también son actualmente más letales. Los heridos que logran llegar vivos al hospital están generalmente supeditados a la atención paramédica-médica precoz en la ambulancia o helicóptero y al tiempo que dure el traslado al hospital. Gracias al personal entrenado para manejar estos problemas en lapsos muy breves y a los adelantos tecnológicos para contribuir a valorar la situación, el pronóstico de estos heridos ha mejorado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract: Purpose: The authors wish to present an original case of a gunshot wound to the left ventricle with bullet migration, as well as to discuss the necessity of adequate medical treatment of such unique cases. Due to the enhanced caliber and power of modern weapons, gunshot wounds to the chest cavity are occurring with greater frequency and fatality worldwide. The survival of those gunshot victims who do make it to the hospital depends on the efficacy of EMT treatment, and rapid emergency response time via ambulance or helicopter transport. With enhanced training of paramedics and emergency response staff who are able to provide quick and effective treatment to these patients, as well as the rise of technological advancements, the prognosis of these victims has improved.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Heridas de corazón]]></kwd>
<kwd lng="es"><![CDATA[letalidad]]></kwd>
<kwd lng="es"><![CDATA[cirugía en los sobrevivientes]]></kwd>
<kwd lng="en"><![CDATA[Cardiac wounds]]></kwd>
<kwd lng="en"><![CDATA[fatalities]]></kwd>
<kwd lng="en"><![CDATA[surgery in survivors]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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