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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Main Authors: Ida Arinah Mahadi, Jih Huei Tan, Jin Zhe Teh, Yuzaidi Mohamad, Imran Alwi Rizal
Format: Article
Language:English
Published: Korean Society of Traumatology 2023-09-01
Series:Journal of Trauma and Injury
Subjects:
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.
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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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AT jinzheteh thoracolaparotomyapproachtosalvagealifethreateningcardiacboxstabinjurytotheinfecriorvenacavainmalaysiaacasereport
AT yuzaidimohamad thoracolaparotomyapproachtosalvagealifethreateningcardiacboxstabinjurytotheinfecriorvenacavainmalaysiaacasereport
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