Objective
We studied delayed or residual manifestations of penetrating cardiac injury in patients to determine the incidence, type, management, and outcome.
Background
Penetrating cardiac injury is associated with a high mortality despite improvement in management in recent years. Secondary lesions that are usually not looked for at the time of initial surgery are diagnosed and repaired postoperatively.
Design
Retrospective study.
Setting
The study was conducted at a major urban trauma center.
Patients
Forty-eight survivors of 71 penetrating cardiac injuries were treated during a 10-year period from 1980 to 1990.
Results
Delayed sequelae were diagnosed in 11 patients (23%) during the postoperative period. There were five ventricular septal defects, two aortic valvular injuries, one atrial septal defect, two conduction defects, and one tricuspid valvular lesion. All lesions were repaired electively with 100% survival.
Conclusion
We found residual or delayed sequelae in 23% of our patients. Close follow-up and utilization of diagnostic studies, including two-dimensional echocardiography during the early postoperative period, can identify late sequelae and allow elective repair.
(Arch Surg. 1993;128:836-841)
Postdischarge Complications After Penetrating Cardiac Injury: A Survivable Injury With a High Postdischarge Complication Rate
Tang et al.
Arch Surg 2011;146:1061-1066.
ABSTRACT
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Traumatic Ventricular Septal Defect
Sugiyama et al.
Ann. Thorac. Surg. 2011;91:908-910.
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An isolated ventricular septal defect as a consequence of penetrating injury to the heart
Tesinsky et al.
Eur J Cardiothorac Surg 1999;15:221-223.
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An unusual intracardiac shunt secondary to penetrating cardiac trauma
Hobbs et al.
Heart 1998;79:525-526.
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Natural History of a Ventriculoatrial Fistula After a Gunshot Injury in 1945
Selinger et al.
Ann. Thorac. Surg. 1998;65:1137-1138.
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Diagnosis and Management of Traumatic Aorto-Right Ventricular Fistulas
Samuels et al.
Ann. Thorac. Surg. 1998;65:288-288.
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ACC/AHA Guidelines for the Clinical Application of Echocardiography : A Report of the American College of Cardiology/ American Heart Association Task Force on Practice Guidelines (Committee on Clinical Application of Echocardiography) Developed in Collaboration With the American Society of Echocardiography
Cheitlin et al.
Circulation 1997;95:1686-1744.
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