Thoracoscopic repair of wound in cardiac infundibulum

Abstract

Cardiac trauma is an entity with high mortality, An accurate diagnosis in the emergency room allows us to choose the most suitable treatment for every patient.
Patients with hemodynamic instability have an immediate surgical indication.
However, patients with hemodynamic stability require additional studies to detect an underlying cardiac injury. When a pericardial window is indicated, the surgical approach could be either subxiphoid or through videothoracoscopy; if the outcome of the pericardial window is favorable, a surgical thoracotomy or sternotomy will be needed to repair the underlying cardiac injury. This is the case of a 65-year-old male patient with multiple precordial stab wounds with ultrasound signs of pericardial effusion treated with pericardial window through videothoracoscopy. A cardiac infundibulum wound was revealed that was successfully treated through surgery.
As far as we knowledge, to this day, no cases in the medical literature available have been reported of a cardiac injury induced by a blunt object repaired through videothoracoscopy.