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J Thorac Cardiovasc Surg 2008;136:218-219
© 2008 The American Association for Thoracic Surgery

Brief Communication

Intraoperative fluorescence angiography to determine the extent of injury after penetrating cardiac trauma

^a Division of Cardiac and Vascular Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada
^b Division of General Surgery, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada

Received for publication May 12, 2007; accepted for publication May 30, 2007.

^_* Address for reprints: Nimesh D. Desai, MD, Division of Cardiac and Vascular Surgery, Sunnybrook Health Sciences Centre, 2075 Bayview Ave, Room H410, Toronto, Ontario, Canada, M4P 1S7. (Email: nimesh.desai@vtoronto.ca).

The first 20% of the full text of this article appears below.

Penetrating cardiac trauma necessitates prompt surgical repair of injuries. We present a case report demonstrating the use of fluorescence coronary angiography to delineate the extent of coronary injury after temporary repair of a penetrating stab wound.

Clinical Summary

A 22-year old man sustained a knife wound to the left side of his chest and was transported to a quaternary care trauma center with severe shock and hypotension. Precipitous loss of vital signs while in the hospital led to immediate left anterior thoracotomy in the emergency department, revealing a tense hemopericardium. The pericardium was incised sharply, and a large amount of clot was evacuated. Spontaneous rhythm returned after a brief period of open cardiac massage. Examination of the heart revealed a through-and-through laceration of the right ventricle, with an anterior wall entry . . . [Full Text of this Article]

This article has been cited by other articles:

				S. K. Singh and K. A. Ihnken Intraoperative Fluorescence Angiography to Identify and Confirm Repair of Intramyocardial Left Anterior Descending Coronary Artery Aneurysm Ann. Thorac. Surg., October 1, 2010; 90(4): e62 - e62. [Full Text] [PDF]