Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature

Background. Penetrating injuries to the chest and in particular to the heart that results in pericardial tamponade and cardiac arrest requires immediate resuscitative thoracotomy as the only lifesaving technique and should be performed without delay. Objective. To describe an external cardiac tampon...

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Main Authors: Ammar Al Hassani, Yassir Abdul Rahman, Ahad Kanbar, Ayman El-Menyar, Abubaker Al-Aieb, Mohammad Asim, Rifat Latifi
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2012/459841
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author Ammar Al Hassani
Yassir Abdul Rahman
Ahad Kanbar
Ayman El-Menyar
Abubaker Al-Aieb
Mohammad Asim
Rifat Latifi
author_facet Ammar Al Hassani
Yassir Abdul Rahman
Ahad Kanbar
Ayman El-Menyar
Abubaker Al-Aieb
Mohammad Asim
Rifat Latifi
author_sort Ammar Al Hassani
collection DOAJ
description Background. Penetrating injuries to the chest and in particular to the heart that results in pericardial tamponade and cardiac arrest requires immediate resuscitative thoracotomy as the only lifesaving technique and should be performed without delay. Objective. To describe an external cardiac tamponade caused by massive tension hemothorax from penetrating injury of the left internal mammary artery (LIMA). Method. A case presentation treated at the Level I trauma center at Hamad General Hospital, in Doha, Qatar and review of the literature on LIMA injuries reported cases. Results. LIMA injury as a cause of hemothorax is not uncommon, but to our knowledge our case is the first massive tension hemothorax with witnessed cardiac arrest reported in the literature requiring emergency thoracotomy, performed in trauma room, with full recovery. Conclusion. Injury to the LIMA with massive tension hemothorax requires immediate resuscitative thoracotomy.
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institution Kabale University
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publishDate 2012-01-01
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series Case Reports in Surgery
spelling doaj-art-f8320e9526d54ff6b09dfb0be9036cd92025-02-03T06:00:46ZengWileyCase Reports in Surgery2090-69002090-69192012-01-01201210.1155/2012/459841459841Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the LiteratureAmmar Al Hassani0Yassir Abdul Rahman1Ahad Kanbar2Ayman El-Menyar3Abubaker Al-Aieb4Mohammad Asim5Rifat Latifi6Section of Trauma, Department of Surgery, Hamad General Hospital (HGH), Hamad Medical Corporation, P.O. Box 3050, Doha, QatarSection of Trauma, Department of Surgery, Hamad General Hospital (HGH), Hamad Medical Corporation, P.O. Box 3050, Doha, QatarSection of Trauma, Department of Surgery, Hamad General Hospital (HGH), Hamad Medical Corporation, P.O. Box 3050, Doha, QatarWeill Cornell Medical School, P.O. Box 24144, Doha, QatarSection of Trauma, Department of Surgery, Hamad General Hospital (HGH), Hamad Medical Corporation, P.O. Box 3050, Doha, QatarClinical Research, Section of Trauma, Department of Surgery, HGH, Hamad Medical Corporation, Doha, QatarSection of Trauma, Department of Surgery, Hamad General Hospital (HGH), Hamad Medical Corporation, P.O. Box 3050, Doha, QatarBackground. Penetrating injuries to the chest and in particular to the heart that results in pericardial tamponade and cardiac arrest requires immediate resuscitative thoracotomy as the only lifesaving technique and should be performed without delay. Objective. To describe an external cardiac tamponade caused by massive tension hemothorax from penetrating injury of the left internal mammary artery (LIMA). Method. A case presentation treated at the Level I trauma center at Hamad General Hospital, in Doha, Qatar and review of the literature on LIMA injuries reported cases. Results. LIMA injury as a cause of hemothorax is not uncommon, but to our knowledge our case is the first massive tension hemothorax with witnessed cardiac arrest reported in the literature requiring emergency thoracotomy, performed in trauma room, with full recovery. Conclusion. Injury to the LIMA with massive tension hemothorax requires immediate resuscitative thoracotomy.http://dx.doi.org/10.1155/2012/459841
spellingShingle Ammar Al Hassani
Yassir Abdul Rahman
Ahad Kanbar
Ayman El-Menyar
Abubaker Al-Aieb
Mohammad Asim
Rifat Latifi
Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature
Case Reports in Surgery
title Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature
title_full Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature
title_fullStr Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature
title_full_unstemmed Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature
title_short Left Internal Mammary Artery Injury Requiring Resuscitative Thoracotomy: A Case Presentation and Review of the Literature
title_sort left internal mammary artery injury requiring resuscitative thoracotomy a case presentation and review of the literature
url http://dx.doi.org/10.1155/2012/459841
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