{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T12:19:36Z","timestamp":1777292376327,"version":"3.51.4"},"reference-count":10,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,8,7]],"date-time":"2021-08-07T00:00:00Z","timestamp":1628294400000},"content-version":"vor","delay-in-days":218,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>Repairing a cardiac injury with beating heart is sometimes difficult and is associated with increased risks of complications. Here we report a case of cardiac injury repaired with administration of adenosine triphosphate (ATP).<\/jats:p><\/jats:sec><jats:sec><jats:title>Case Presentation<\/jats:title><jats:p>A 46\u2010year\u2010old man was stabbed in his chest with a knife and transferred to our hospital. He was hemodynamically unstable, and echocardiography showed pericardial effusion. Emergency thoracotomy revealed a full\u2010thickness injury in the right ventricle next to the coronary artery. He went into cardiac arrest and was resuscitated with adrenaline administration. We tried to suture immediately, but it was difficult because of tachycardia. After administering 20\u00a0mg of ATP (80\u00a0mg in total over 15\u00a0min), bradycardia was induced that led to \u201cintentional cardiac arrest\u201d after which suturing was performed. He was discharged on the 13th day without complications.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cases of penetrating cardiac injury repaired using ATP are rare. Administration of ATP may be a useful option while repairing cardiac injuries.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.686","type":"journal-article","created":{"date-parts":[[2021,8,7]],"date-time":"2021-08-07T17:25:53Z","timestamp":1628357153000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Penetrating cardiac injury repaired under \u201cintentional cardiac arrest\u201d with adenosine triphosphate"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7918-6108","authenticated-orcid":false,"given":"Kazuki","family":"Hagiwara","sequence":"first","affiliation":[{"name":"Department of Advanced Emergency and Critical Care Medical Center Yamanashi Prefectural Central Hospital Kofu City Yamanashi Prefecture Japan"},{"name":"Department of Advanced Emergency and Critical Care Medicine Nippon Medical School Bunkyo\u2010Ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun\u2010ichi","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Advanced Emergency and Critical Care Medical Center Yamanashi Prefectural Central Hospital Kofu City Yamanashi Prefecture Japan"},{"name":"Department of Advanced Emergency and Critical Care Medicine Nippon Medical School Bunkyo\u2010Ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gaku","family":"Matumoto","sequence":"additional","affiliation":[{"name":"Department of Advanced Emergency and Critical Care Medical Center Yamanashi Prefectural Central Hospital Kofu City Yamanashi Prefecture Japan"},{"name":"Department of Advanced Emergency and Critical Care Medicine Nippon Medical School Bunkyo\u2010Ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fumiaki","family":"Iwase","sequence":"additional","affiliation":[{"name":"Department of Advanced Emergency and Critical Care Medical Center Yamanashi Prefectural Central Hospital Kofu City Yamanashi Prefecture Japan"},{"name":"Department of Advanced Emergency and Critical Care Medicine Nippon Medical School Bunkyo\u2010Ku Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,8,7]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2016.07.014"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00068-008-8099-4"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199112053252306"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1583\/1545-1550(2000)007<0292:SAEOHD>2.3.CO;2"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1213\/ANE.0b013e3181d65bf5"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000003024"},{"key":"e_1_2_7_8_1","first-page":"80","article-title":"Intravenous adenosine for surgical management of penetrating heart wounds","volume":"34","author":"Kokotsakis J","year":"2007","journal-title":"Tex. 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