Cases reported "Wounds, Stab"

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1/3. Penetrating injury of the chest and coronary arteriovenous fistula.

    An unusual case of coronary artery fistula, due to a stab wound in the chest in a 17-year-old male patient, with a resultant acute inferior myocardial infarction is presented. At surgery, complete transection of the right coronary artery was found, which formed a fistulous communication with both the right atrium and the right ventricle. The development of a continuous murmur in the period immediately after the injury, the absence of hemopericardium, and multiple cardiac-chamber involvements were unique features of the case. The inferior myocardial wall was akinetic due to infarction and did not improve following revascularization surgery. A brief review of the literature is also presented.
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ranking = 1
keywords = communication
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2/3. Traumatic intracardiac communication: detection by color flow mapping.

    A previously healthy 20-year-old man underwent emergency surgery for repair of a right ventricular free wall laceration that was the result of a knife wound. A systolic murmur was first heard 1 month later, and two-dimensional echocardiography and color flow mapping demonstrated a communication between the left and right ventricle in the region of the membranous septum. The visualized turbulent flow was consistent with a ventriculoseptal defect but also appeared to extend posteriorly into the left atrium in a direct line with the septal communication. At cardiac catheterization the calculated left-to-right shunt was 1.2:1.
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ranking = 6
keywords = communication
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3/3. Traumatic internal mammary arteriovenous fistula. A case report and review of the literature.

    A rare case of arteriovenous fistula of the right mammary artery following penetrating chest wound is reported. The patient was treated one week later because of right-sided hemothorax associated with diastolic machinary murmur. Selective digital subtraction angiography showed a fistulous communication connecting the right internal mammary vessels. The fistula was cured through a right anterolateral thoracotomy. The surgical literature is reviewed.
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ranking = 1
keywords = communication
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