Objective: The objective of the work was to
define the particularities of surgical management of
patients with heart wounds.
Patients and method: This was a retrospective study of
patients suffering from heart wounds and treated in a
cardiovascular surgery department between 2014 and
2022. The data studied were the site of the lesions, the
treatment times. load, preoperative clinical and
paraclinical data, surgical technique and mortality.
Results: Twelve patients (11 men/1 woman) with a mean
age of 32 ± 14.7 years. The average surgical treatment
time was 52.5 ± 31 min. Two patients underwent median
sternotomy, one via subxiphoid approach and nine via
thoracotomy. Right ventricular injury was observed in
10 patients. Treatment was surgical in all patients.
Conclusion: This is a serious emergency. The treatment
is surgical, the approach depends on the site of the chest
wound. The prognosis varies depending on the time it
takes to receive treatment.
Keywords : Heart Wound, Sternotomy, Thoracotomy, Surgery.