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.