J Thorac Cardiovasc Surg 2008;136:218-219
© 2008 The American Association for Thoracic Surgery
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: firstname.lastname@example.org).
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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.
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
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