Clamp control of the right ventricular angle to facilitate exposure and repair of cardiac wounds

Penetrating cardiac wounds, especially those of the posterior surface, present a major challenge to the trauma surgeon. Previously described methods to assist in cardiac exposure include manual control and apex stitch. The authors describe a simple technique to facilitate exposure during acute control and repair of traumatic cardiac wounds. Using an atraumatic vascular clamp in the fashion described allows for improved exposure and easier repair of heart surface wounds.