ISSN : 1301-5680
e-ISSN : 2149-8156
Turkish Journal of Thoracic and Cardiovascular Surgery     
The role of thoracic computed tomography in penetrating cardiac injury
Hakan Kara1, Kemal Uzun1, Hasan Yılmaz2, Gökhan İlhan3
Özel Giresun Ada Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Giresun, Türkiye
1Özel Giresun Ada Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Giresun, Türkiye
2Özel Giresun Ada Hastanesi, Anesteziyoloji ve Reanimasyon Kliniği, Giresun, Türkiye
3Rize Üniversitesi Tıp Fakültesi, Kalp ve Damar Cerrahisi Anabilim Dalı, Rize, Türkiye
DOI : 10.5606/tgkdc.dergisi.2014.8421
A 39-year-old male who was admitted to emergency department due to cutting and penetrating stab wounds had a 2.5 cm stab wound at the intersection of the left midclavicular line and sixth intercostal space. There was no significant finding on posteroanterior chest X-ray. Thoracic computed tomography which was performed to eliminate thoracic or mediastinal injuries revealed pleural effusion reaching 1 cm in thickness in the pericardial space and a retrosternal hematoma. The patient underwent median sternotomy urgently. After hematoma was removed in the pericardial space, a 1.5 cm laceration along the anterior surface of the left ventricle was seen. Bleeding was managed with finger inserted into the left ventricle. The injury site was repaired primarily with pledgeted 3/0 polypropylene and 2/0 polyethylene polyester sutures. The patient recovered without any complication. Thoracic computed tomography is an important diagnostic tool for cutting and penetrating stab wounds towards the heart.
Keywords : Computed tomography; echocardiography; penetrating cardiac injury
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