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Dr Juan Javier Zuñiga Bohorquez, Dr Cesar Benitez Pozo, Dr Carlos Luis Salvador - Cardiothoracic Surgery Team, Hospital Luis Vernaza JBG Guayaquil - Ecuador
Penetrating cardiac trauma sharps, 24 hours of evolution, as well additional tests negative, then the same clinical symptoms and decided to perform pericardial window and be positive median sternotomy and cardiac raffia perforation with pericardial patch