TY - JOUR AU - Marin, Jessica Correa AU - Zuluaga, Mauricio AU - Llano, Juan David Urrea PY - 2016 TI - Positive video-assisted thoracoscopic pericardial window management of a right ventricle stab wound with minimally invasive technique JF - Journal of Visualized Surgery; Vol 2 (June 2016): Journal of Visualized Surgery Y2 - 2016 KW - N2 - This is a case report of a successful right ventricle stab wound suture through a video-assisted pericardial thoracoscopic window, avoiding the need of a thoracotomy diminishing its associated risks, morbidity and costs. A 22-year-old patient was admitted to the emergency room with a stab wound on the left side of his chest, the patient showed symptoms of dyspnea and signs of pulmonary hypoventilation on his left lung, a chest tube were placed on the affected side with an improvement on his symptoms. A video-assisted thoracoscopic pericardial window (VATPW) was performed within the next 24 hours to rule out underlying heart wound. A VATPW shows a 1 cm right ventricle wound which was treated through the same portals avoiding a thoracotomy. The left chest tube was removed 48 hours after de procedure and the patient underwent a control echocardiogram, with no abnormalities reported and no symptoms of dyspnea, respiratory distress or palpitation the patient was subsequently discharged. The VATPW is a feasible and safe procedure to rule out underlying heart injury in individualized cases and it provides a minimally invasive treatment option in selected patients avoiding major surgery like thoracotomy or sternotomy and the added morbidity that carry with them. UR - https://jovs.amegroups.org/article/view/10841