A 40-year-old woman sustained a stab wound to the left chest. Arriving in asystolic arrest, the patient underwent an emergency department resuscitative thoracotomy that revealed a 2-cm laceration to the right ventricle in proximity to the left anterior descending artery (LAD). Cardiorrhaphy was performed during asystole; the patient regained pulses with open cardiac massage and intracardiac epinephrine. Definitive repair was accomplished with pledgeted sutures with care to avoid the LAD (Fig 1). Intraoperative auscultation with a sterile stethoscope revealed a holosystolic murmur.
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- Penetrating cardiac wounds: principles for surgical management.World J Surg. 2004; 28: 1025-1029
- Pneumopericardium following penetrating chest injuries.Arch Surg. 1990; 125: 1187-1189
Accepted: July 8, 2007
© 2007 Published by Elsevier Inc. All rights reserved.