Penetrating through stab wound to the heart with spontaneous closure of the defect: case report

The article presents a rare clinical case of long-term survival of a patient after an undiagnosed penetrating stab wound to the right ventricle of the heart. A 56-year-old man was urgently hospitalized in the cardiology department of a multidisciplinary hospital with decompensated heart failure against the background of tachyform atrial fibrillation. He had not sought medical care for many years. From the anamnesis it was established that 30 years ago the patient underwent surgery in a district hospital for multiple penetrating stab wounds to the chest and abdomen. After discharge, he felt satisfactory for a long time, performed heavy physical work. During the examination as part of this hospitalization, a false aneurysm and a defect in the wall of the right ventricle were detected. The patient was referred for consultation to a cardiac surgeon. He categorically refused the proposed operation. The clinical case is interesting due to the casuistry of the patient's survival with a penetrating stab wound to the chest and into the cavity of the right ventricle of the heart with the development of a false aneurysm of the right ventricle and long-term compensation of blood flow.