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Case Reports in Cardiology
Volume 2015, Article ID 140507, 3 pages
http://dx.doi.org/10.1155/2015/140507
Case Report

Penetrating Heart Injury due to Screwdriver Assault

Service de Chirurgie Cardiovasculaire et Thoracique, CHUN Fann, Dakar, Senegal

Received 4 December 2014; Accepted 25 March 2015

Academic Editor: Monvadi Barbara Srichai

Copyright © 2015 P. A. Dieng et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Penetrating heart injuries cause wounds in the cardiac chambers. Most of them are due to gunshot or stabbing by knives. Screwdriver is an uncommon weapon. Authors report a case of stab wound by screwdriver, treated at cardiovascular center in Dakar. This is a 16-year-old boy who experienced physical aggression. He was assaulted with a screwdriver and had stab wound on the anterior wall of the chest. Physical examination showed a screwdriver penetrating the sternum bone over a right angle. He had a mild pericardial blood effusion and a right ventricle wound 5 mm in diameter with transection of the right coronary vein. The screwdriver was removed without cardiopulmonary bypass (CPB) and the ventricle wound repaired by direct suture of stitches reinforced with Teflon pledgets. The right coronary artery was ligated. Postoperative period was free of events. Screwdriver is uncommonly used as a weapon. It is a dangerous device because of its rigid structure and narrow tip.