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Aortic valve regurgitation with aorto-right ventricular fistula following penetrating cardiac injury

Interactive cardiovascular and thoracic surgery, 2011-12, Vol.13 (6), p.653-654 [Peer Reviewed Journal]

ISSN: 1569-9293 ;EISSN: 1569-9285 ;DOI: 10.1510/icvts.2011.275297 ;PMID: 21908889

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Title:
Aortic valve regurgitation with aorto-right ventricular fistula following penetrating cardiac injury
Author: Barbosa, Fernando Martín ; Quiroga, José María ; Otero, Andrés Enrique ; Girela, German Alejandro
Subjects: Adolescent ; Aortic Valve - injuries ; Aortic Valve Insufficiency - etiology ; Aortic Valve Insufficiency - surgery ; Fistula - etiology ; Fistula - surgery ; Heart Injuries - etiology ; Heart Injuries - surgery ; Heart Valve Prosthesis Implantation ; Heart Ventricles - injuries ; Humans ; Male ; Pericardium - transplantation ; Reoperation ; Suture Techniques ; Thoracotomy ; Treatment Outcome ; Wounds, Stab - etiology ; Wounds, Stab - surgery
Is Part Of: Interactive cardiovascular and thoracic surgery, 2011-12, Vol.13 (6), p.653-654
Description: 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.
Publisher: England
Language: English
Identifier: ISSN: 1569-9293
EISSN: 1569-9285
DOI: 10.1510/icvts.2011.275297
PMID: 21908889
Source: GFMER Free Medical Journals
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Aortic valve regurgitation with aorto-right ventricular fistula following penetrating cardiac injury

ISSN: 1569-9293 ;EISSN: 1569-9285 ;DOI: 10.1510/icvts.2011.275297 ;PMID: 21908889

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