Logo-jpe
Submitted: 14 Nov 2021
Accepted: 02 Feb 2022
ePublished: 11 Feb 2022
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)

J Prev Epidemiol. 2022;7(2): e26168.
doi: 10.34172/jpe.2022.26168
  Abstract View: 153
  PDF Download: 29

Case Report

Benefits of delayed revascularization following ligation of anterior descending artery after a stab wound

Mahmoud Beheshti Monfared 1 ORCID logo, Manouchehr Hekmat 1 ORCID logo, Zahra Ansari Aval 1* ORCID logo, Hamid Ghaderi 1 ORCID logo, Seyedeh Adeleh Mirjafari 2 ORCID logo, Reza Beheshti Monfared 3 ORCID logo

1 Department of Cardiovascular Surgery, Shahid Beheshti University of Medical Sciences, Tehran, Iran
2 Department of Pediatrics, Abadan University of Medical Sciences, Abadan, Iran
3 Department of Anesthesiology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
*Corresponding Author: Correspondence to: Zahra Ansari Aval, Email: Z.ansari@sbmu.ac.ir, , Email: zahraansariaval@gmail.com

Abstract

Penetrating cardiac trauma often results in death. However, in rare cases when patients survive, there is almost always a need for damage control by artery ligation. Following that, revascularization is recommended as soon as possible. The extent to which revascularization is effective has not yet been studied and agreed upon. A 24-year-old man with a penetrating stab wound to the heart and left anterior descending (LAD) artery received primary life-saving treatment with artery ligation and was then referred for revascularization. Nonetheless, the patient did not consent to coronary artery bypass grafting (CABG) and was discharged against medical advice with ejection fraction (EF) of 20%. He returned three months later due to chest pain and heart failure, then underwent revascularization which increased the patient’s EF to 45% and significantly improved the symptoms. Although CABG revascularization is recommended as soon as possible after main coronary arteries are ligated, our patient showed that such patients benefit from delayed revascularization surgery and that they should not be deprived of its benefits only because of the long time passed.

Citation: Beheshti Monfared M, Hekmat M, Ansari Aval Z, Ghaderi H, Mirjafari SA, Beheshti Monfared R. Benefits of delayed revascularization following ligation of anterior descending artery after a stab wound. J Prev Epidemiol. 2022;7(2):e23168. doi: 10.34172/ jpe.2022.23168.
First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 154

Your browser does not support the canvas element.


PDF Download: 29

Your browser does not support the canvas element.