Cases reported "Heart Injuries"

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1/624. High-voltage injury resulting in permanent right heart dysfunction.

    This report describes the case of a 27-year-old man who survived a high-voltage chest injury that resulted in acute biventricular dysfunction. Although the prognosis is generally poor, complete recovery of cardiac function over days to weeks has been documented. This case is unique because the patient regained complete recovery of left ventricular function over 3 months, but had persistent right heart dysfunction on serial echocardiographic evaluations. ( info)

2/624. Penetrating trauma to the tricuspid valve and ventricular septum: delayed repair.

    Penetrating cardiac trauma can result in a wide range of injuries to intracardiac structures. Missile injury, in particular, can cause damage in more than one cardiac chamber that may be difficult to identify at initial emergent operation. We report a case of late repair of traumatic ventricular septal defect and tricuspid valve perforation from gunshot wound. This case illustrates the importance of thorough examination of intracardiac anatomy during emergent and delayed repair for penetrating cardiac trauma. ( info)

3/624. Intraoperative left ventricular perforation with false aneurysm formation.

    Two cases of perforation of the left ventricle during mitral valve replacement are described. In the first case there was perforation at the site of papillary muscle excision and this was recognized and successfully treated. However, a true ventricular aneurysm developed at the repair site. One month after operation rupture of the left ventricle occurred at a second and separate site on the posterior aspect of the atrioventricular ring. This resulted in a false aneurysm which produced a pansystolic murmur mimicking mitral regurgitation. Both the true and the false aneurysm were successfully repaired. In the second case perforation occurred on the posterior aspect of the atrioventricular ring and was successfully repaired. However, a false ventricular aneurysm developed and ruptured into the left atrium producing severe, but silent, mitral regurgitation. This was recognized and successfully repaired. The implications of these cases are discussed. ( info)

4/624. fatal outcome arising from use of a sutureless "corkscrew" epicardial pacing electrode inserted into apex of left ventricle.

    A 59-year-old man is described in whom the insertion of an epicardial sutureless "corkscrew" electrode resulted in fatal ventricular perforation. Fatal myocardial perforation can occur with this electrode and the apex of the left ventricle should never be used as the site of insertion. Necropsy also showed that the transvenous right ventricular electrode, inserted one year previously, had penetrated a tricuspid leaflet. This could have accounted for the ensuing pacing failure. ( info)

5/624. Isolated intrathoracic injury with air bag use.

    The restrained (air bag and seatbelt) driver of a vehicle involved in a high-speed motor-vehicle accident sustained a tear of the thoracic aorta with no signs of external injury. air bag deployment may mask significant internal injury, and a high index of suspicion is warranted in such situations. ( info)

6/624. Mesenteric thrombosis after penetrating cardiac trauma.

    survival of the severely injured trauma victim through aggressive therapy results in new complications. We report the first instance of mesenteric thrombosis in association with penetrating cardiac trauma. Selective visceral angiography should be obtained early in a patient with persistent abdominal pain following a period of prolonged shock; such cases should have a more favorable prognosis if diagnosed early in view of the limited period of cardiac dysfunction and the younger age group. ( info)

7/624. Prolonged activity after an ultimately fatal gunshot wound to the heart: case report.

    In this article, we describe an unusual case of suicide involving a gunshot wound to the left ventricle. The victim engaged in premortem activity that was both prolonged and methodical. This report stresses the importance of a complete investigation to distinguish such case from an homicide. ( info)

8/624. An isolated ventricular septal defect as a consequence of penetrating injury to the heart.

    The authors describe, in a case report, an isolated defect of the ventricular septum developing due to a stab injury to the heart not requiring an emergency surgical intervention. Two months after the injury, the authors performed primary surgical correction of the defect. ( info)

9/624. Recurrent pericardial effusion due to gunshot wound of the heart in a hemodynamically stable child--a case report.

    A 12-year-old girl presented with recurrent pericardial effusion due to firearm pellet injury to the left ventricle. The pellet was localized by two-dimensional echocardiography within the left ventricular apical wall. Since the patient was asymptomatic, left ventriculotomy was avoided to extract the pellet and only pericardial tube drainage was carried out. A slightly elevated blood lead level of the patient was alarming for potential subsequent lead poisoning due to retained pellets. ( info)

10/624. Blunt traumatic rupture of the heart: case report and selected review.

    Cardiac rupture is a common complication following blunt thoracic trauma. Blunt traumatic rupture of the heart is a frequent cause of death. Cardiac injuries are rarely diagnosed early in the preoperative period. Most of them die at the scene of the accident and only a few survive to make it to the hospital alive. Rapid evaluation and expeditious management may increase the number of survivors. We present here an illustrative case report and selected review of literature regarding clinical presentation, mechanism of injury, investigation and treatment. ( info)
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