Stab Wound of the Heart With Tamponade and Interventricular Septal Defect

Penetration cardiac wound associated with anterior mitral leaflet perforation: a case report and review of the literature

“…Хирургическое вмешательство необходимо в случае гемодинамически значимых повреждений. Наиболее часто вмешательство проводится по поводу дефектов мышечной части МЖП как традиционным открытым хирургическим способом с доступом к входному и выходному отверстиям раневого канала через различные камеры сердца или магистральные сосуды в условиях искусственного кровообращения [6,10,17,36,48,[50][51][52][53][54][55][56][57][58], так и посредством чрескожной транскатетерной имплантации современных окклюдеров [33,45,[59][60][61][62][63].…”

The Role of Heart Team Approach in Penetrating Cardiac Trauma: Case Report and Review of the Literature

“…The major cardiac injuries could be blunt or penetrating. Penetrating cardiac trauma has different and several presentations [ 1 - 10 ] . The patient could be presented with a stable tamponade (hypotension, elevated central venous pressure [CVP]) or unstable ones (shock with critical hypotension, tachycardia, dyspnoea, raised CVP, pulsus paradoxus with distant heart sounds and impalpable apex).…”

“…This case is the first reported in scientific literature because the most of the previous article describe single procedure for closure of VSD with occluder device after surgery or only endovascular approach or first endovascular and then surgery correction, but there are not combined procedures in the same time ( Table 1 ), following some of the most important experience in the literature. According to Degiannis et al [ 21 ] , surgical approach could be fundamental and the primary step to control the bleeding, in particularly the best is median sternotomy approach which gives an effective and extensive vision of heart, great vessels, to other structures in the mediastinum and to both pleural cavities [ 1 - 9 , 13 - 16 ] . On the other hand, left antero-lateral thoracotomy provides rapid access to the right and left ventricles and to the pulmonary artery; this is our approach of choice for emergency room thoracotomy [ 21 ] .…”