Medicaltalks almost 5 years ago

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Repaired stab wound to the right ventricle!

This case presented a patient with a cardiac stab wound who underwent definitive repair of the wound with sutures. Control of hemorrhage in penetrating cardiac trauma is essential and immediate control can be achieved most easily by direct finger pressure. For large wounds, a Foley catheter or Satinsky clamp may be used. Techniques for definitive repair (as seen above) of cardiac wounds include sutures isolated or combined with Teflon pledgets, particularly in large wounds. Placement of sutures can be challenging and time consuming in the beating heart. The use of staples has been reported to be a safe and quick method to achieve temporary control of hemorrhage from penetrating cardiac wounds.