Rare: Saved a patient who was hit in the heart by a barbed wire while mowing the fence

Afternoon 5.5, Can Tho Central General Hospital said that the doctors of Thoracic Surgery – Vascular Surgery had just successfully operated on a rare accident case: the patient suffered a stroke. heart wound do foreign object during the use of the lawn mower.

The broken barbed wire along the posterior wall of the left ventricle into the patient’s heart chamber was removed family recruitment

Before that, male HVB patient (35 years old, working in Phu Quoc city, Kien Giang province) was taken to the emergency room with a wound on the right abdomen about 2×5 mm in size.

Through studying the medical history, it is known that 1 day before the emergency, the patient was using a lawn mower at the fence, but unfortunately cut the barbed wire. A broken piece of barbed wire flew up and pierced the patient’s abdomen. The wound was only mildly painful, with little bleeding, so the patient was subjective and did not go to the doctor. However, half a day later, the patient suddenly developed fatigue, shortness of breath, and increasing chest pain, and then went to the local hospital for examination.

Immediately after that, the patient was quickly transferred to Can Tho Central General Hospital for emergency.

Image of contrast foreign objects located in the patient’s body family recruitment

Through straight chest X-ray, echocardiography, color echocardiography, and contrast-enhanced computed tomography, doctors recorded a contrast foreign body 4×0.4 cm long, lying along the left ventricular posterior wall and communicating with it. heart chambers. The patient is indicated for emergency surgery.

The surgical team led by BS.CK2 Tram Cong Chat, MSc.BS Lieu Vinh Dat (Department of Thoracic Surgery – Vascular), BS.CK2 Nguyen Thanh Liem (Department of Anesthesia and Resuscitation) performed surgery on the patient.

The team opened the pericardium and found little blood thinning and clots, and many pseudomembranous areas along the right border of the heart and the back of the heart. Investigating that the diaphragm has a small wound that has been closed, the left ventricular posterior wall is bruised about 3×3 cm with a pseudomembranous membrane, there is a small wound on the heart muscle wall, a foreign body is seen on the surface of the left ventricular posterior wall. Remove the foreign body is a piece of metal 4×0.4 cm long. At this point, blood spurts out. The doctors sutured the left ventricular posterior wall, checked hemostasis carefully, pumped the pericardial cavity, closed the pericardium… The surgery took place successfully after more than 2 hours.

By the afternoon of May 5, the patient was awake, breathing on her own, her vital signs were stable, the incision was dry, she continued to be monitored and treated at the Department of Thoracic Surgery – Vascular Surgery.

After the surgery, the patient is now awake, vital signs are stable family recruitment

According to BS.CK2 Tram Cong Chat (Department of Thoracic – Vascular Surgery, Can Tho Central General Hospital), this patient’s case is quite rare because there is only a heart wound in a complicated location. This is a very serious injury, an emergency surgical emergency in cardiothoracic surgery with a high mortality rate if not promptly treated. Heart wound surgery is very complicated, high difficulty, requires experienced specialist surgeons, capable of suturing the wound quickly and with correct technique on a beating heart. That’s why, when suffering from similar injuries, patients need to be quickly transferred to large centers with sufficient modern medical equipment and a team of emergency workers, surgeons, anesthesiologists and resuscitators. able to handle it in a timely manner.