• Although cardiac injuries are rare but cause high mortality.
• Up to 20% of the injured to the hospital alive.
• The key to success is early diagnosis and ambulatory surgery.
• Echocardiography help early diagnosis of damage
• Midline transster
nal incision is the choice in patients with a degree of heamodynamic stability.
• Anterieur left Thoracic incision is the choice in unstable patients and is often done in the Emergency Department and as part of recovery .