Obscure traumatic cardiac lesion after a penetrating chest injury: Review of the literature.

Autor: Kenneth Siu-Ho Chok, Daniel King-Hung Tong, Wai-Key Yuen, Timmy Wing-Kuk Au, David Lik-Ching Cheung
Předmět:
Zdroj: Surgical Practice; May2007, Vol. 11 Issue 2, p84-87, 4p, 2 Black and White Photographs
Abstrakt: We report a young man who sustained a penetrating chest injury after an assault. He was immediately transferred from a regional hospital to Queen Mary Hospital for definitive treatment after initial stabilization. Emergent thoracotomy was done in the operating theatre and primary repair of a cardiac laceration was performed. Postoperative transoesophageal echocardiography showed a large residual ventricular septal laceration with significant left to right intracardiac shunting. He had an open repair in a cardiac surgery centre the next day. A 1.5 cm laceration was found at the ventricular septum and repair was performed. Postoperative transoesophageal echocardiography showed no further ventricular septal defect. He underwent uneventful recovery and was discharged on day 6 postoperation. Follow up at 1 month postoperation did not show any abnormalities and he subsequently defaulted further follow up. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index