Pradhan, SSapkota, RShrestha, U KAmatya, RKoirala, B2025-08-172025-08-172011https://hdl.handle.net/20.500.14572/1666Pradhan S,1 Sapkota R,1 Shrestha U K,1 Amatya R,2 Koirala B2 1Department of Cardio-Thoracic and Vascular Surgery, 2Department of Anesthesiology, 2Man Mohan Center for Cardio-Thoracic, Vascular & Transplant Surgery, Institute of Medicine, P.O.Box 3578. Maharajgunj. KathmanduABSTRACT Cardiac impalement injury is rare and one of the most severe penetrating chest injuries, often fatal. The management of penetrating cardiac injuries is a challenging one. The success in management of impaling cardiac trauma requires stabilization of the impaling object, expeditious transfer to a facility for open heart surgery, rapid imaging, access to blood and blood products and a ready surgical team. We report a case of impalement injury to the heart by a stick, transfixing the right ventricle and its successful treatment. KEY WORDS Impalement injury, Penetrating cardiac injury, Cardiac injury, Cardiac impalementen-USArticle