Cardiac complications. Results of penetrating chest wounds involving the heart

Heller, Richard

doi:10.1001/archinte.134.3.491

Cited by 19 publications

(6 citation statements)

References 17 publications

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“…Ehrenstein et al (1971) reported the case of a patient with an aorto-right ventricular shunt and aortic regurgitation who survived 17 years. Most patients nevertheless will require surgical treatment for the control of heart failure, especially those with large intracardiac shunts or valvar regurgitation or both (King and Schumacker, 1958;Nowlan et al, 1962;Berger et al, 1969;Treasure et al, 1971;Heller et al, 1974). With careful preoperative studies and the surgical techniques herein described, definitive surgical repair can be achieved with low risk and satisfactory long-term results.…”

Section: Discusionmentioning

confidence: 99%

“…An increasing number of intracardiac fistulae has been reported in recent years, probably as a result of improved management of patients with penetrating wounds of the heart (Heller et al, 1974;Mattox et al, 1975;Rayner et al, 1977). Nevertheless, the timing of and the techniques for the repair of intracardiac defects resulting from cardiac trauma are still controversial.…”

Section: Discusionmentioning

confidence: 99%

See 1 more Smart Citation

Elective correction of intracardiac lesions resulting from penetrating wounds of the heart.

Morgan¹,

Maturana²,

Urzúa³

et al. 1979

Thorax

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Section: Discusionmentioning

confidence: 99%

Section: Discusionmentioning

confidence: 99%

Elective correction of intracardiac lesions resulting from penetrating wounds of the heart.

Morgan¹,

Maturana²,

Urzúa³

et al. 1979

Thorax

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“…In 733 cases reported by various authors 2 • 3 • 4 • 5 • 6 atrioventricular block was not mentioned in even one case! Other authors, while :p.oting the presence of the block, have found it only in a minority of their series-only one of 27 cases reported by Heller et al 1 In that patient, a traumatic ventricular septal rupture was also found, indicating the degree of damage caused. Anagnostopoulas a:p.d Kittle 7 found only two in a series of 30 cases and in one of these, the cause was probably related to trauma at a third operation.…”

Section: Discussionmentioning

confidence: 84%

Traumatic Heart Block

Copperman

Low

Laniado

1989

Pacing Clinical Electrophis

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“…Acquired coronary artery fistulas are rare, but 80% are secondary to penetrating injuries. The rarity of acquired coronary fistulas can be attributed to the high death rate (65% to 85%) of penetrating wounds involving the coronary arteries 2. Time between injury and presentation may be days to decades, averaging 3 years 3.…”

Section: Descriptionmentioning

confidence: 99%

Traumatic left anterior descending to pulmonary trunk fistula

Rajendran

Zhou²,

Juli³

et al. 2012

Case Reports

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DESCRIPTIONA young man in his late 20s, presented with new-onset exertional angina. Five months earlier, the patient had presented to the trauma unit with a penetrating injury to the left chest and cardiac arrest due to cardiac tamponade. The patient had undergone emergency median sternotomy for repair of a 15 mm laceration to the right ventricular outfl ow tract. On examination, he had normal vital signs with no abnormal heart sounds or signs of heart failure. ECG was normal. Cardiac catheterisation demonstrated a communication between the proximal left anterior descending coronary artery (LAD) just before its fi rst diagonal branch and the pulmonary trunk (PT) ( fi gure 1 , upper arrow). A small blind-ended myocardial defect was also visible transiently at the same site ( fi gure 1 , lower arrow). Both defects were dynamically occluded during systole ( fi gure 1 ). The LAD-PT fi stula measured 8 mm in diameter and the myocardial defect measured 4mm on CT ( fi gure 2 ). Laboratory investigations were normal. Surgery was performed on cardiopulmonary bypass. The PT was opened exposing an 8 mm fi stulous connection with the LAD within the right ventricular outfl ow tract, distal to the septal leafl et of the pulmonary valve ( fi gure 3 ). The fi stula was closed with 4/0 prolene suture. Coronary artery fi stulas maybe congenital or acquired abnormalities. They are identifi ed in only 0.2% of routine cardiac angiographic studies 1 and can vary widely in morphologic appearance and presentation. Acquired coronary artery fi stulas are rare, but 80% are secondary to penetrating injuries. The rarity of acquired coronary fi stulas can be attributed to the high death rate (65% to 85%) of penetrating wounds involving the coronary Images in... Traumatic left anterior descending to pulmonary trunk fi stula

show abstract

Cardiac complications. Results of penetrating chest wounds involving the heart

Cited by 19 publications

References 17 publications

Elective correction of intracardiac lesions resulting from penetrating wounds of the heart.

Elective correction of intracardiac lesions resulting from penetrating wounds of the heart.

Traumatic Heart Block

Traumatic left anterior descending to pulmonary trunk fistula

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