Abstract

Ihssan Ali Hais Elamery* and Maysa Edan

ABSTRACT

Background: Penetrating cardiac injuries continue to increase in proportion to the steady rise in violence in our society. Aim: The aim of study was to express the importance of emergency diagnosis and surgical approach in penetrating cardiac trauma patients. Method: Between January 2016 to January 2017, a five penetrating cardiac trauma were admitted to the emergency unit in imam Hussein medical city in kerbala, three of them stab wound and two cases is shell injury, all of them males in age range from 14-44 years old, the five patients were operated without using cardiopulmonary bypass machine and all of them pass without any complications. Results: The study consisted of five patients sustaining penetrating cardiac injuries, the five gunshot patients divided into two shell wound (40%) and three stab wounds (60%). An emergency department thoracotomy was performed in all patients and the wounded was sutured with 4/0 prolene after good resuscitation in ER. Conclusion: Penetrating wounds of the heart are one of the major cause of mortality and morbidity in our society due to violence, rapid action and good resuscitation with right decision of good skill hand cardiac surgeon will improve the outcome of the results.