| CASE REPORT |
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| Year : 2017 | Volume
: 2
| Issue : 1 | Page : 17-20 |
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Complex cardiac stab wound
Bruno José da Costa Medeiros1, Ricardo Silva de Morais2
1 Member of Surgery Institute of Amazonas State - ICEA, Brasilian Society of Trauma Integrated Attendance - SBAIT, Amazonas, Brazil
2 Member of Surgery Institute of Amazonas State - ICEA, Member of Brasilian College of Surgeon - CBC, Rio de Janeiro, Brazil
Correspondence Address:
Bruno José da Costa Medeiros
Member of Surgery Institute of Amazonas State - ICEA, Brasilian Society of Trauma Integrated Attendance - SBAIT, Amazonas
Brazil
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jctt.jctt_6_16
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A 50-year-old male come to the hospital victim of damage with a knife to anterior chest (precordial region) after a fight 1 h before. Cardiac tamponade was discovered by focused assessment sonography for trauma and was positive with fluid in pericardial sac. The patient was taken to the operating room. A left anterior thoracotomy was performed. There were three cardiac lesions: One was on the right ventricle, another was very near the left coronary artery (descending anterior branch), and the last one was on pulmonary artery trunk. All the three lesions were corrected with horizontal sutures with prolene 3-0, the lesion near the coronary artery was corrected with a horizontal suture under the artery. Complex cardiac wound is always a challenger to the surgeon, in this case, a cardiac lesion was so near the left coronary artery, a suture over the artery could lead to a myocardial infarction and even death of the patient. |
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