Acquired Ventricular Septal Defect and Mitral Insufficiency Without Pericardial Effusion After Stab Wound to the Chest☆,☆☆,★
Section snippets
Case Report
A 30-year-old man was taken to the emergency room after sustaining a stab wound from a knife to the chest. On arrival, he was in shock, with blood pressure of 45/30 mm Hg and heart rate of 80 bpm. The place of penetration was just medial to the left nipple. The chest radiograph showed a fluid collection in the left thorax with mediastinal shift. A chest tube was placed, and more than 750 ml of blood was drained. The patient was intubated and put on artificial respiration. He required a total of
Discussion
Gunshot and stab wounds are responsible for almost all penetrating cardiac injuries. Gunshot wounds have a higher mortality rate than stab wounds. Indications for emergency thoracotomy, techniques of cardiac injury repair, and adjunct maneuvers are beyond the scope of this report.3
The difficulty in evaluating different series on penetrating cardiac injuries along with analyzing their results has been pointed out by Trinkle.4 Although the incidence of intracardiac lesions in patients available
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Cited by (10)
Young Male With Stab Wound
2017, Annals of Emergency MedicineCitation Excerpt :Expedient surgical repair of these lesions was performed. Cardiac injury must always be considered in penetrating thoracic trauma, even in the absence of pericardial effusion.1,2 Between 1% and 5% of cardiac traumas are complicated by ventricular septal defect,3 although this injury may not be initially detected.4,5
Traumatic mitral valve regurgitation: a case report and state-of-the-art review
2019, Journal of Cardiovascular MedicinePenetration cardiac wound associated with anterior mitral leaflet perforation: a case report and review of the literature
2019, Almanac of Clinical MedicineDelayed pericardial tamponade, mitral insufficiency and VSD after stab wound to the heart
2008, Thoracic and Cardiovascular SurgeonThe use of current hemodynamic monitors and echocardiography in resuscitation of the critically ill or injured patient
2007, International Anesthesiology ClinicsIatrogenic coronary artery stenosis and late ventricular septal defect after penetrating cardiac trauma repair
2006, Journal of Cardiac Surgery
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From the Departments of Cardiology and Surgery, Sint Elisabeth Ziekenhuis, Tilburg; and the Department of Cardiothoracic Surgery, Catharina Ziekenhuis, Eindhoven.
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Reprint requests: W. Hans Pasteuning, MD, Department of Cardiology, Sint Elisabeth Ziekenhuis, Hilvarenbeekseweg 60, Postbus 90151, 5000 LC, Tilburg, The Netherlands.
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