In penetrating chest injury, trauma to the heart does not occur frequently. However, an unstable patient must be operated on immediately.
A small group of patients, who were admitted to the hospital with thoracic injury and consequently became unstable during CT examination, is presented.
In total, five patients were transferred immediately to the operating room. Penetrating heart injury was found. All patients were successfully treated and dismissed from hospital.
A general surgeon must be able to manage penetrating heart injury in unstable patients.