Lesão cardíaca complexa: um relato de caso e revisão de literatura

Abstract

A simple heart damage is small and an easy accessible laceration; most of the time, one stab wound. The complex lesions are multiple, difficult to access, extensive or affect the coronary arteries. Purpose - To report a case of complex cardiac injury. Case Report - RNBDS, 50, male, which regards self-flagellation with stab wound (knife) in precordial region initially stable and unchanged for laboratory tests, presented after 10 hours of the event, the revaluation: (FAST) with large amount of free fluid in the pericardial sac and jugular venous distension. Underwent pericardiocentesis and later left anterolateral thoracotomy, pericardiotomy and suture of 3 heart lesions. Conclusion - The resolution of buffering is just the first step in a grueling battle. Complex heart lesions are major problems and have a high mortality rate, even in experienced hands, because usually these are extremely violent and deadly bouts. Key-words: Complex cardiac injury; Cardiac buffering; Cardiac suture