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An odyssey of suturing cardiac wounds: Lessons from the past

Erwan Flécher1, Alain Leguerrier1, Nicolas Nesseler2

  • 1Department of Cardiothoracic and Vascular Surgery, University Rennes Hospital, INSERM, LTSI-UMR 1099, Rennes, France.

Journal of Cardiac Surgery
|June 3, 2020
PubMed

Insights

Historically, cardiac wounds were fatal and suturing myocardial lacerations was deemed impossible. Today, emergent surgery for cardiac stab wounds is standard practice, reflecting medical progress.

Area of Science:

  • Cardiovascular Surgery
  • Medical History
  • Trauma Care

Background:

  • Cardiac wounds have historically been fatal, with myocardial laceration repair considered impossible for centuries.
  • Early medical beliefs prohibited the suturing of myocardial lacerations, viewing it as sacrilegious.

Purpose of the Study:

  • To highlight the historical evolution of managing cardiac wounds.
  • To emphasize the shift in medical dogma regarding cardiac repair procedures.

Main Methods:

  • Historical review of cardiac wound management.
  • Analysis of the progression of surgical interventions for myocardial lacerations.

Main Results:

  • Pioneering surgeons began attempting myocardial laceration repair in the late 19th century.
  • Current medical practice universally accepts emergent surgery for cardiac stab wounds.

Conclusions:

  • The management of cardiac wounds exemplifies the medical field's capacity to embrace innovative procedures.
  • Acceptance of new medical techniques requires overcoming established dogma and historical resistance.
Abstract

Keywords:
surgical history

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