A STAB IN THE FORBIDDEN TERRITORY

Authors

  • Khuzaima Tariq National Institute of Cardiovascular Diseases
  • Asmat Achakzai National Institute of Cardiovascular Diseases,
  • Muneer Amanullah Liaquat National Hospital, Karachi
  • Asad Awan National Institute of Cardiovascular Diseases, Karachi

DOI:

https://doi.org/10.55519/JAMC-04-S4-10328

Keywords:

Penetrating Cardiac Injuries, Penetrating Cardiac Injuries, complete LAD Transection, emergency cardiopulmonary bypass

Abstract

Penetrating heart injuries are associated with higher mortality rates.  Coronary lesions caused by penetrating trauma are considered even rarer and universally fatal. We present a case of a fortunate survivor who had complete transection of left anterior descending (LAD) artery with right ventricular (RV) tear after being stabbed by knife, arriving in emergency unit with massively bleeding chest wound. Complex cardiac trauma involving coronaries and cardiac chambers is a challenge to surgeons if patients miraculously reach the hospital alive. This patient had complete transection of LAD artery with penetration into RV cavity, he was successfully managed by timely and prompt surgical intervention by on call team. This case highlights the importance of team dynamics working in harmony during emergency situations, we stress upon conducting routine drills to train surgical residents, perfusionists and operation theatre staff.

Author Biographies

Asmat Achakzai, National Institute of Cardiovascular Diseases,

Senior Registrar Cardiac surgery National Institute of Cardiovascular Diseases, Karachi

Muneer Amanullah, Liaquat National Hospital, Karachi

Professor Congenital Cardiac Surgery Liaquat National Hospital, Karachi

Asad Awan, National Institute of Cardiovascular Diseases, Karachi

Associate professor cardiac surgery National Institute of Cardiovascular Diseases, Karachi

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Published

2022-10-11

Issue

Vol. 34 No. 4(SUPPL 1) (2022): JOURNAL OF AYUB MEDICAL COLLEGE ABBOTTABAD

Section

CASE REPORT

License

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