AI Article Synopsis
- Penetrating heart injuries often result from gunshots or stabbings, but this case study highlights a rare instance of a stab wound inflicted by a screwdriver.
- A 16-year-old boy was treated for a stab wound to the chest caused by a screwdriver, which penetrated the sternum and caused a 5 mm wound in the right ventricle.
- The surgical procedure involved removing the screwdriver without using cardiopulmonary bypass and repairing the heart with stitches reinforced by Teflon; the patient had a smooth postoperative recovery.
Article Abstract
Penetrating heart injuries cause wounds in the cardiac chambers. Most of them are due to gunshot or stabbing by knives. Screwdriver is an uncommon weapon. Authors report a case of stab wound by screwdriver, treated at cardiovascular center in Dakar. This is a 16-year-old boy who experienced physical aggression. He was assaulted with a screwdriver and had stab wound on the anterior wall of the chest. Physical examination showed a screwdriver penetrating the sternum bone over a right angle. He had a mild pericardial blood effusion and a right ventricle wound 5 mm in diameter with transection of the right coronary vein. The screwdriver was removed without cardiopulmonary bypass (CPB) and the ventricle wound repaired by direct suture of stitches reinforced with Teflon pledgets. The right coronary artery was ligated. Postoperative period was free of events. Screwdriver is uncommonly used as a weapon. It is a dangerous device because of its rigid structure and narrow tip.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4402181 | PMC |
| http://dx.doi.org/10.1155/2015/140507 | DOI Listing |
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