Penetrating cardiac injury
Affiliations
Affiliations
- Department of Surgery, Al-Adan Hospital, Ministry of Health, Kuwait. magdy_gis@yahoo.com
Abstract
Objectives: To report a case of penetrating cardiac injury with patient's survival.
Clinical presentation and intervention: A 23-year-old man stabbed with a knife to the epigastric area just below the right costal margin was brought to the Emergency Room, Al-Adan Hospital, Kuwait, in a state of shock. Aggressive resuscitation was performed, chest X-ray showed no evidence of hemo- or pneumothorax. Exploratory laparotomy was performed revealing a severely congested liver, with no intraperitoneal hemorrhage to explain his being in a state of shock. Left thoracotomy revealed pericardial tamponade with perforation in the right ventricle and hemorrhage. A mattress suture was used to control bleeding from the right ventricle. Postoperative echography revealed a tear in the interventricular septum and papillary muscle. Open-heart surgery was performed to repair the injured tissues. The patient made an uneventful recovery.
Conclusion: This report shows that patients with penetrating cardiac injuries and detectable vital signs on arrival at the hospital can be salvaged by prompt surgical intervention.
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References
https://pubmed.ncbi.nlm.nih.gov/