Acquired Ventricular Septal Defect and Mitral Insufficiency Without Pericardial Effusion After Stab Wound to the Chest

Pasteuning, W.Hans; Jonge, Wally F. Wonnink-de; Henegouwen, D.P. van Berge; Aa, Miranda A.C. van der; Penn, Olaf M.

doi:10.1016/s0894-7317(98)70030-6

Cited by 8 publications

(5 citation statements)

References 7 publications

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“…И хотя случаи сочетания посттравматических дефектов МЖП и повреждения структур митрального клапана в литературе встречаются редко [43,44], нам представляется уместным охарактеризовать это классическое сочетание проникающего ранения передней стенки ПЖ, мышечной части МЖП и передней створки, фиброзного кольца или подклапанных структур митрального клапана как «несчастную триаду», требующую в итоге обязательной операции на открытом сердце.…”

Section: Discussionunclassified

“…диагностики повреждения внутрисердечных структур и определения оптимальной хирургической тактики [13,16,17]. Следует помнить, что внутрисердечные повреждения могут встречаться даже в отсутствие гемотампонады сердца [43]. Сложность диагностики и выбора оптимальной тактики лечения пострадавших с проникающими ранениями сердца определяет необходимость тщательного наблюдения оперированных пациентов, регулярных повторных обследований и скорейшего направления раненых в специализированные центры сердечно-сосудистой хирургии при наличии подозрения на внутрисердечные повреждения [11].…”

Section: литература / Referencesunclassified

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Penetration cardiac wound associated with anterior mitral leaflet perforation: a case report and review of the literature

Басараб¹,

Устюжин²,

Перуцкий³

et al. 2019

Alʹm. klin. med.

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The paper presents a rare case of successful correction of an anterior mitral leaflet perforation. A 28-years old patient was referred with progressive heart failure symptoms at 18 weeks after he had a penetrating stab wound of the right ventricle. Massive pericardial effusion with cardiac tamponade risk and severe mitral valve insufficiency were found at examination. By the time of referral, spontaneous closure of the ventricular septal defect, which is an inevitable component of the “unhappy triad”, had happened. Accurate topical ultrasound diagnosis of the intracardial lesion that resulted from the penetrating wound of the left ventricular outflow allowed for a successful urgent mitral valve reconstruction with a xenopericardial patch and the insertion of a 28 mm MedEng annuloplasty band. To prevent any future pericardial constriction, subtotal pericardectomy by Cooley was performed.Conclusion: Perioperative echocardiography and subsequent follow up by cardiologist are obligatory in all cases of precordial wounds after discharge from hospital. Timely surgery for traumatic mitral leaflet perforation allows for a successful valvuloplasty.

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Section: Discussionunclassified

Section: литература / Referencesunclassified

Penetration cardiac wound associated with anterior mitral leaflet perforation: a case report and review of the literature

Басараб¹,

Устюжин²,

Перуцкий³

et al. 2019

Alʹm. klin. med.

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“…In literature, the incidence of VSDs related to penetrating cardiac trauma is 4.5% 3 . The mechanism of VSD can be either a direct trauma to interventricular septum or as a complication of myocardial infarction resulting from an injury to a coronary artery.…”

Section: Discussionmentioning

confidence: 99%

Iatrogenic Coronary Artery Stenosis and Late Ventricular Septal Defect After Penetrating Cardiac Trauma Repair

et al. 2006

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“…The echocardiographic evaluation often demonstrates no additional pathology at this point in time [1]. Although Pasteuning [3] described a VSD and MI immediately after a stab wound but found no pericardial effusion, most patients present with new murmur and signs of congestive heart failure after a certain period, which can vary between 10 days and 1.5 months [1,2] for patients with VSD and MI, and between 3 weeks and 10 months [4,5] for patients with VSD only. Symbas [6] published a follow-up of 56 patients, 16 of whom had residual or delayed sequelae from a penetrating cardiac injury.…”

mentioning

confidence: 99%

Delayed Pericardial Tamponade, Mitral Insufficiency and VSD after Stab Wound to the Heart

Babin‐Ebell

Roth

2008

Thorac cardiovasc Surg

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We report a case of delayed pericardial tamponade and presentation of a mitral insufficiency and traumatic ventricular septal defect (VSD) after a cardiac stab wound in an attempted suicide. Delayed tamponade in combination with a VSD and mitral valve injury is a rare complication after a stab wound to the heart. Normal echocardiographic findings, no murmur at admission and relatively benign clinical conditions may be misleading after cardiac trauma. The presented case links the rapid deterioration of the clinical condition and the development of a pericardial effusion to a Valsalva maneuver.

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Acquired Ventricular Septal Defect and Mitral Insufficiency Without Pericardial Effusion After Stab Wound to the Chest

Cited by 8 publications

References 7 publications

Penetration cardiac wound associated with anterior mitral leaflet perforation: a case report and review of the literature

Penetration cardiac wound associated with anterior mitral leaflet perforation: a case report and review of the literature

Iatrogenic Coronary Artery Stenosis and Late Ventricular Septal Defect After Penetrating Cardiac Trauma Repair

Delayed Pericardial Tamponade, Mitral Insufficiency and VSD after Stab Wound to the Heart

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