Abstract
Penetrating injuries to the heart are usually devastating and few patients survive the initial trauma. The most frequent penetrating injuries are caused by projectile injuries and less commonly by melee weapons. Most of these injuries involve chamber free walls and a small percentage can affect the interventricular septum. We report a case in which an emergency surgical procedure was successful in controlling cardiac tamponade, and repairing a right ventricular laceration caused by multiple stab wounds. Subsequently, a successful interventional occlusion of a large interventricular septal defect, associated with significantly augmented pulmonary flow was performed.
Highlights
Penetrating injuries to the heart are usually devastating and few patients survive the initial trauma
The present report describes a case of hybrid treatment of a complex lesion, secondary to penetrating cardiac trauma caused by multiple stabbing, with an initial clinical presentation of cardiac tamponade
The excellence of pre-hospital care with cardiopulmonary resuscitation, and later at Hospital das Clínicas of the Faculdade de Medicina of Universidade de São Paulo (USP), with emergency thoracotomy was crucial for the successful treatment of these critical conditions
Summary
João Reynaldo Abbud Chierice1iD, Geraldo Luiz de Figueiredo1iD, Moyses de Oliveira Lima-Filho1iD, Igor Matos Lago1iD, Rodrigo Nieckel da Costa2iD, José Antônio Marin-Neto1iD. How to cite this article: Chierice JR, Figueiredo GL, Lima-Filho MO, Lago IM, Costa RN, Marin-Neto JA. The most frequent penetrating injuries are caused by projectile injuries and less commonly by melee weapons. Most of these injuries involve chamber free walls and a small percentage can affect the interventricular septum. We report a case in which an emergency surgical procedure was successful in controlling cardiac tamponade, and repairing a right ventricular laceration caused by multiple stab wounds. Os ferimentos penetrantes mais frequentes são causados por projéteis e, menos comumente, por armas brancas. Relatamos um caso em que um procedimento cirúrgico de emergência obteve sucesso no controle do tamponamento cardíaco e no reparo da laceração do ventrículo direito causada por múltiplos ferimentos por arma branca.
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