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A Stab In The Forbidden Territory

Khuzaima Tariq1, Asmat Achakzai1, Muneer Amanullah1

  • 1National Institute of Cardiovascular Diseases, Liaquat National Hospital, Karachi, Pakistan.

Journal of Ayub Medical College, Abbottabad : JAMC
|December 23, 2022
PubMed

Insights

A rare case of complete left anterior descending artery transection and right ventricular tear from penetrating chest trauma was successfully treated. This highlights the critical role of prompt surgical intervention and team coordination in managing complex cardiac injuries.

Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Penetrating heart injuries carry high mortality.
  • Coronary artery lesions from trauma are exceptionally rare and often fatal.

Observation:

  • A patient presented with a massive chest wound from a knife stab, exhibiting complete transection of the left anterior descending (LAD) artery and a right ventricular (RV) tear.
  • The complex cardiac trauma involved both a major coronary artery and a cardiac chamber.

Findings:

  • Successful surgical management of complete LAD artery transection and RV perforation was achieved.
  • The patient survived a catastrophic cardiac injury due to timely and decisive surgical intervention.

Implications:

  • This case underscores the critical role of prompt surgical intervention in complex cardiac trauma.
  • Emphasizes the importance of coordinated team dynamics and regular emergency drills for surgical staff.

Keywords:
Penetrating Cardiac Injuries; Complete LAD TransectionEmergency cardiopulmonary bypass

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