A STAB IN THE FORBIDDEN TERRITORY

Khuzaima Tariq; Asmat Achakzai; Muneer Amanullah; Asad Awan

doi:10.55519/JAMC-04-S4-10328

Author(s)

Khuzaima Tariq National Institute of Cardiovascular Diseases, Liaquat National Hospital,Karachi ,Pakistan

Asmat Achakzai National Institute of Cardiovascular Diseases, Liaquat National Hospital,Karachi, Pakistan

Muneer Amanullah National Institute of Cardiovascular Diseases, Liaquat National Hospital,Karachi, Pakistan

Asad Awan National Institute of Cardiovascular Diseases, Liaquat National Hospital,Karachi ,Pakistan

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.

Publication Details

Page(s) 1040-1042

DOI 10.55519/JAMC-04-S4-10328

Published Journal: Journal of Ayub Medical College, Volume: 34, Issue: 4, Year: 2022

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Keywords

Complete LAD Transection, Emergency cardiopulmonary bypass, Penetrating Cardiac Injuries