Thorac Cardiovasc Surg 2009; 57(4): 248-249
DOI: 10.1055/s-2008-1038694
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

A Unusual Case of Right Lung and Right Atrio-Inferiocaval Injury Caused by Stabbing

M. S. Topcuoglu1 , H. H. Poyrazoglu1 , H. Yaliniz1
  • 1Thoracic and Cardiovascular Surgery Department, Cukurova University, Faculty of Medicine, Adana, Turkey
Further Information

Publication History

received February 19, 2008

Publication Date:
20 May 2009 (online)

Abstract

Penetrating thoracic injuries can damage more than one intrathoracic structure and frequently require urgent surgical intervention due to life-threatening consequences. These injuries demand extreme awareness and emergency measures. This paper reports on an unusual case with right lung and right atrio-inferiocaval junction injury caused by a knife penetrating through the right paravertebral region of the thorax. The patient was treated by immediate surgical repair under partial cardiopulmonary bypass and discharged successfully. This case emphasizes the fact that right chest paravertebral penetrating injuries may require cardiopulmonary bypass, although this zone has less risk for cardiac injury.

References

  • 1 Banerjee A, Subbarao K SVK, Nachinppam M. An unusual case of transfixation injury of the right atrium and lung.  Indian Journal of Thoracic and Cardiovascular Surgery. 1989;  6 (1) 106-108
  • 2 Beer I, Bielik E, Kollarik V. Intrapericardial rupture of the inferior vena cava caused by blunt trauma.  Rozhl Chir. 2002;  81 398-400
  • 3 Klinkenberg T J, Kaan G L, Lacquet L K. Delayed sequelae of penetrating chest trauma: a plea for early sternotomy.  J Cardiovasc Surg (Torino). 1994;  35 173-175
  • 4 Asensio J A, Soto S N, Forno W, Roldan G, Petrone P, Salim A, Rowe V, Demetriades D. Penetrating cardiac injuries: a complex challenge.  Injury. 2001;  32 533-543
  • 5 Choo M H, Chia B L, Chia F K, Johan A. Penetrating cardiac injury evaluated by two-dimensional echocardiography.  Am Heart J. 1984;  108 417-420
  • 6 Dauphine C, Mckay C, De Virgilio C, Omari B. Selective use of cardiopulmonary bypass in trauma patients.  Am Surg. 2005;  71 46-50

Dr. Hüseyin Hakan Poyrazoglu

Thoracic and Cardiovascular Surgery Department
Cukurova University, Faculty of Medicine

Balcali

01330 Adana

Turkey

Email: hpoyrazoglu@yahoo.com