Aortic valve regurgitation with aorto-right ventricular fistula following penetrating cardiac injury
| Autor: | José María Quiroga, Fernando Martín Barbosa, Andrés Enrique Otero, German Alejandro Girela |
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| Rok vydání: | 2011 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic valve Male Reoperation Heart Injury medicine.medical_specialty Adolescent Fistula medicine.medical_treatment Heart Ventricles Aortic Valve Insufficiency Wounds Stab Internal medicine medicine Pericardium Humans Thoracotomy Aortic valve regurgitation Heart Valve Prosthesis Implantation business.industry Suture Techniques medicine.disease Surgery medicine.anatomical_structure Treatment Outcome Heart Injuries Ventricle Heart failure Aortic Valve cardiovascular system Ventricular pressure Cardiology Cardiology and Cardiovascular Medicine business |
| Zdroj: | Interactive cardiovascular and thoracic surgery. 13(6) |
| ISSN: | 1569-9285 |
| Popis: | Aortic valve perforation due to a penetrating cardiac injury is extremely rare, especially with an associated shunt between the right ventricle and the aortic valve. We report here the case of an 18-year-old male, who after suffering a chest stab injury, was seen at another institution where he underwent an emergency left anterolateral thoracotomy and right ventricular suture. During the following 30 days, his course was torpid, complicated by a ventilator-associated pneumonia and heart failure with acute pulmonary edema. Workup confirmed the presence of an acute aortic regurgitation due to perforation of the right coronary leaflet with an interventricular shunt. After implementing appropriate medical treatment, the valve was replaced with a mechanical prosthesis and the shunt was closed with an autologous pericardial patch. |
| Databáze: | OpenAIRE |
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