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Cardiac stab injury by a bodkin
Mamoru Munakata1, Hiroyuki Itaya, Yuichi Ono
1Department of Cardiovascular Surgery, Aomori Rosai Hospital, Hachinohe, Aomori, Japan.
Summary
A cardiac stab injury from a suicide attempt caused cardiac tamponade. Emergency surgery successfully repaired the right ventricle penetration, with an uneventful recovery.
Area of Science:
- Cardiology
- Trauma Surgery
- Emergency Medicine
Background:
- Cardiac stab injuries, though rare, present significant diagnostic and therapeutic challenges.
- Suicide attempts using sharp instruments can lead to severe thoracic trauma.
Observation:
- A 46-year-old male presented 12 hours post-injury with cardiac tamponade secondary to a stab wound from a bodkin.
- The injury involved penetration of the right ventricle.
Findings:
- Emergency pericardiotomy revealed the right ventricular injury.
- Surgical repair of the ventricular defect and removal of the foreign object were performed.
Implications:
- Timely surgical intervention is crucial for survival in cases of cardiac tamponade due to stab wounds.
- Successful management highlights the importance of prompt diagnosis and surgical repair in penetrating cardiac trauma.
- This case underscores the potential for unusual instruments in causing life-threatening cardiac injuries.
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