Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case report
Torso stab injuries near the cardiac box may present unique challenges due to difficulties in hemorrhage control. For a stab injury to the heart, the repair is straightforwardly performed via median sternotomy. In contrast, injuries to the inferior vena cava are challenging to repair, especially whe...
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Korean Society of Traumatology
2023-09-01
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Series: | Journal of Trauma and Injury |
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Online Access: | http://jtraumainj.org/upload/pdf/jti-2022-0071.pdf |
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author | Ida Arinah Mahadi Jih Huei Tan Jin Zhe Teh Yuzaidi Mohamad Imran Alwi Rizal |
author_facet | Ida Arinah Mahadi Jih Huei Tan Jin Zhe Teh Yuzaidi Mohamad Imran Alwi Rizal |
author_sort | Ida Arinah Mahadi |
collection | DOAJ |
description | Torso stab injuries near the cardiac box may present unique challenges due to difficulties in hemorrhage control. For a stab injury to the heart, the repair is straightforwardly performed via median sternotomy. In contrast, injuries to the inferior vena cava are challenging to repair, especially when they are close to the diaphragm, and the bleeding can be torrential. Herein, we describe a case of a self-inflicted stab wound within the "cardiac box." The trajectory of the stab injuries went below the diaphragm and injured the infradiaphragmatic inferior vena cava. Successful emergent repair via the thoraco-laparotomy approach revived the young man. In this report, we revisit and discuss previous large series of patients with this rare vena cava injury. |
format | Article |
id | doaj-art-0897faa25a374b6ba25401fc5e76e77f |
institution | Kabale University |
issn | 2799-4317 2287-1683 |
language | English |
publishDate | 2023-09-01 |
publisher | Korean Society of Traumatology |
record_format | Article |
series | Journal of Trauma and Injury |
spelling | doaj-art-0897faa25a374b6ba25401fc5e76e77f2025-01-16T05:40:00ZengKorean Society of TraumatologyJournal of Trauma and Injury2799-43172287-16832023-09-0136328628910.20408/jti.2022.00711248Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case reportIda Arinah Mahadi0Jih Huei Tan1Jin Zhe Teh2Yuzaidi Mohamad3Imran Alwi Rizal4 Department of Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia Department of Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia Department of Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia Department of Surgery, Sultanah Aminah Hospital, Johor Bahru, Malaysia Department of Surgery, Sultanah Aminah Hospital, Johor Bahru, MalaysiaTorso stab injuries near the cardiac box may present unique challenges due to difficulties in hemorrhage control. For a stab injury to the heart, the repair is straightforwardly performed via median sternotomy. In contrast, injuries to the inferior vena cava are challenging to repair, especially when they are close to the diaphragm, and the bleeding can be torrential. Herein, we describe a case of a self-inflicted stab wound within the "cardiac box." The trajectory of the stab injuries went below the diaphragm and injured the infradiaphragmatic inferior vena cava. Successful emergent repair via the thoraco-laparotomy approach revived the young man. In this report, we revisit and discuss previous large series of patients with this rare vena cava injury.http://jtraumainj.org/upload/pdf/jti-2022-0071.pdfinjuryveinsheartcase reports |
spellingShingle | Ida Arinah Mahadi Jih Huei Tan Jin Zhe Teh Yuzaidi Mohamad Imran Alwi Rizal Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case report Journal of Trauma and Injury injury veins heart case reports |
title | Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case report |
title_full | Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case report |
title_fullStr | Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case report |
title_full_unstemmed | Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case report |
title_short | Thoraco-laparotomy approach to salvage a life-threatening cardiac box stab injury to the infecrior vena cava in Malaysia: a case report |
title_sort | thoraco laparotomy approach to salvage a life threatening cardiac box stab injury to the infecrior vena cava in malaysia a case report |
topic | injury veins heart case reports |
url | http://jtraumainj.org/upload/pdf/jti-2022-0071.pdf |
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