[A successful surgical treatment in a patient with penetrating left ventricular injury]

A 46-year-old man underwent emergency operation for penetrating cardiac injury resulting in cardiac tamponade. Echo cardiogram showed moderate pericardial effusion. At median sternotomy, incision of pericardium resulted in decompression of pericardial cavity with a subsequent fall in central venous pressure and increased blood pressure. Penetrating wound was found 3 mm from the left anterior descending coronary artery on the left ventricule. The wound was closed with direct mattress suture. He was successfully treated and doing well now.