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The patient presented with profound shock following a stab attack. The entry wound was located on the anterior aspect of the right chest wall. The patient was intubated, access gained via two large bore cannulae and bilateral thoracostomy tubes inserted. These both initially drained 1 litre of blood with the ECG at the time showing PEA. A clamshell thoracotomy was performed with pericardiotomy and ventricular repair carried out as shown below.
The patient made a good post op recovery and was discharged.