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Penetrating cardiac injury
Magdy Giurgius1, Fahad Al Asfar, Piyaray M Dhar
1Department of Surgery, Al-Adan Hospital, Ministry of Health, Kuwait. magdy_gis@yahoo.com
Summary
A patient survived a stab wound to the heart through prompt surgical intervention. This case highlights the importance of immediate treatment for penetrating cardiac injuries in patients with vital signs.
Area of Science:
- Cardiovascular Surgery
- Trauma Surgery
- Emergency Medicine
Background:
- Penetrating cardiac injuries are life-threatening emergencies.
- Prompt diagnosis and surgical intervention are crucial for survival.
Observation:
- A 23-year-old male presented with shock after a stab wound to the epigastric area.
- Initial laparotomy revealed liver congestion; left thoracotomy identified pericardial tamponade and right ventricular perforation.
- Postoperative echocardiography showed interventricular septal and papillary muscle tears.
Findings:
- Successful hemorrhage control of the right ventricle using a mattress suture.
- Complete repair of cardiac structures, including the interventricular septum and papillary muscle, via open-heart surgery.
- The patient experienced an uneventful recovery.
Implications:
- This case demonstrates that patients with penetrating cardiac injuries and vital signs can be successfully treated.
- Highlights the critical role of rapid surgical management in improving outcomes for severe cardiac trauma.
- Emphasizes the need for experienced trauma teams and advanced surgical capabilities in managing such critical cases.