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Emerg Med J 2005;22:521-522
  • Case report

Delayed presentation of traumatic ventricular septal defect and mitral leaflet perforation

  1. J A Vecht,
  2. M F Ibrahim,
  3. A O Chukwuemeka,
  4. P R James,
  5. G E Venn
  1. Department of Cardiothoracic Surgery, St Thomas’ Hospital, London SE1, UK
  1. Correspondence to:
 Andrew Chukwuemeka, Department of Cardiothoracic Surgery, St Thomas’ Hospital, London SE1 7EH, UK; andrew.chukwuemekagstt.sthames.nhs.uk
  • Accepted 27 August 2003

Abstract

A case of intracardiac stabbing is reported. The victim sustained injuries disproportionate to his initial presentation. These included a ventricular septal defect and mitral valve leaflet perforation. The need for immediate referral to a cardiothoracic unit and the importance of the use of echocardiography is stressed. This enables the safest and most appropriate management of potentially lethal injuries.

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