Penetrating cardiac trauma in a second-level hospital. Presentation of two cases
Valdés-Dupeyrón, Osvaldo; Alvia-Del Castillo, Gino; González-Roble, Javier; Espinales-Casanova, Lidia; Rodríguez-Marcos, Lisette; Lois-Mendoza, Natacha
ABSTRACT
Introduction: cardiac injuries represent a group of pathologies within thoracic trauma that often result in fatal hemorrhage. These types of injuries can be contained by the membrane surrounding the heart, allowing enough time for the patient to receive emergency treatment.
Case report: we present two patients with stab wounds to the thorax. The first patient presented wounds to the anterior and posterior wall of the right ventricle and an injury to the diaphragm and liver. The second patient was admitted with a left ventricle wound very close to the anterior descending artery and a left lung laceration. Both cases underwent emergency surgery, and sutures were performed both in cardiac cavities and injured structures with favorable evolution. At the present date, they are still alive with no cardiovascular complications.
