Medicaltalks almost 8 years ago

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Median sternotomy for stab injury to left chest and ventricular laceration!

This patient was stabbed in the left anterior chest wall, 5th intercostal space, 1cm medial to midclavicular line. He was in shock with neck vein distension. FAST (Focused assessment with sonography for trauma) showed pericardial fluid, meaning that he was suffering from a ventricular wall laceration/tearing, and blood was leaking though it. Ventricular repair, or cardiorrhaphy, has long been one of the most dramatic and lifesaving procedures performed in the emergency department. In this photo, Index finger was placed on the actively bleeding site of injury and the laceration was repaired with 4-0 prolene via a pledget.