Penetrating cardiac injuries are still a challenge for surgeons because of their difficulty as to the diagnosis, bad prognosis and the necessity of acute operation. Penetrating trauma to the thoracic vessels was not extensively reported until the 20th century because of the absence of survivors. In 1934, Alfred Blalock was the first American surgeon to successfully repair an aortic injury. Over one year period ( January 2004 to February 2005), five patients ( 4 males and one female) with cardiac or great vessel injuries were admitted and managed successfully in Sulaimania Teaching Hospital, Iraqi Kurdistan Region. All of them had emergency operations (four left thoracotomy and one median sternotomy) with good outcome. The cases are presented with literature review. Publication Name: Basra Journal of Surgery Publication Date: Mar 2005 view on iasj.net

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