Published on March 4, 2014
Back from the dead Vikram Hospital, Mysore
Assault • While at a isolated temple with his wife, this person was attacked by knife wielding robbers. He resisted the attack and suffered injuries. One on the face and one on the chest. He collapsed immediately. An hour later.. He arrived in hospital.
The wound meant to kill!
Lightning reaction.. • • • • Immediately readied for operation 8 bottles of blood readied All surgeons arrive in 25 minutes No delay in documentation, no cash payment asked..
Will it be possible? • 80% of heart wounds die. • He has come 3 hours after injury • The Team decides We will not give up • Young man • Has a young family depending on him
Some of his other injuries..
4 Surgeons, 2 anesthesiologists, 2 OT technicians, 1 cardiac perfusionist, 5 nurses and 2 house keeping..15 people Working late in the night
The plan • Temporarily stop the flow of the blood to the heart. • Somehow keep him alive • Close the wound as fast as possible
The anesthesiologists giving blood,pushing fluids, monitoring the BP and keeping him alive
The wound with lot of blood..
As the surgery went on.. The B P dropped to 23/19. We all thought he was going to die
The fountain of blood from the hole..
• The blood flow to the heart was stopped • The hole could now be seen
The hole caused by the knife…
Using a special device called the OCTOPUS, the wound was closed…
The hole is closed.. It is 12:15 in the night..
Possible problems • Too much blood loss – shock and death • Decreased blood flow to the brain – Coma • Uncontrolled bleeding from everywhere as the body is unable to form clots
He fights back… • • • • Remarkable recovery in 48 hours Starts sitting up on the 3rd day Walks on the 5th day Discharge on the 7th day. • No COMPLICATIONS AT ALL!
A life saved.. A miracle has occurred… a priceless smile.
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Cardiac Stab Injury ... The management of stab wounds to the heart with laceration of the left anterior descending coronary artery. Eur J Emerg Med. 2001; ...
med. j. malaysia vo!. 40 no. 3 september 1985 successful management of a patient with stab injury to the heart: a case report m ichael cheong yoke leong
sure). The diagnosis of the penetrating heart injury con-firmed the pericardial puncture, which not only has diag-nostic value but is also of therapeutic ...
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PATIENT COME WITH STAB OFOVER LEFT SIDE CHEST. HE WAS PULSELESS AT THE TIME OF ADMISSON. OPERATED IMMIDIATELY. HE SURVIVED