Delayed presentation of cardiac injury four weeks after stabbing

2019 ◽  
Vol 28 (1) ◽  
pp. 62-64
Author(s):  
Ayame Ochi ◽  
Ashutosh A Hardikar

Penetrating trauma to the heart has a high associated mortality due to significant hemorrhage, coronary artery injury, and cardiac tamponade. Such sequelae progress rapidly, often leading to death before reaching hospital. We report a case of delayed presentation following a stab injury to the right ventricle. This case highlights the mechanisms that may facilitate a delayed presentation and the importance of appropriate investigation when suspicion of cardiac injury is high.

2017 ◽  
Vol 83 (1) ◽  
pp. 23-25 ◽  
Author(s):  
Xiaoying Lou ◽  
Julio C. Vasquez ◽  
Monica L. Mispireta ◽  
Jacob Delarosa

Author(s):  
Yumika Tsuji ◽  
Tomonori Miki ◽  
Yoshimi Sato ◽  
Akiteru Kojima ◽  
Mikimasa Imai ◽  
...  

2013 ◽  
Vol 54 (3) ◽  
pp. 788 ◽  
Author(s):  
Ae-Young Her ◽  
Yong Hoon Kim ◽  
Se-Min Ryu ◽  
Jun Hwi Cho

2012 ◽  
Vol 15 (2) ◽  
pp. 119 ◽  
Author(s):  
I. Halil Algin ◽  
Aytekin Yesilay ◽  
N. Murat Akcar

The frequency of coronary artery fistula among all coronary angiography patients is 0.1% to 0.2%; however, involvement of both the pulmonary artery and the right ventricle is a rare clinical entity. A 53-year-old man patient was admitted to our clinic with rarely occurring chest pain, palpitations, and dyspnea. A coronary angiogram showed a fistula between the left main coronary artery and both the pulmonary artery and the right ventricle. We performed a ligation of this fistula without cardiopulmonary bypass. Aorta and right ventricle sutures were made, and the proximal and distal portions of the fistula were obliterated with 5-0 Prolene sutures and previously prepared Teflon felt. The patient recovered and was discharged without any complications. The surgical indications for coronary artery fistulas are symptomatic disease, an aneurysmic coronary artery, signs of heart failure, and ischemia. The surgical options in such cases�depending on whether the fistula is complicated or not�are simple ligation or transarterial ligation under cardiopulmonary bypass.


Circulation ◽  
2005 ◽  
Vol 112 (20) ◽  
Author(s):  
Ming-Ting Wu ◽  
Kuan-Rau Chiou ◽  
Chun-Peng Liu ◽  
Ping-Hong Lai ◽  
Huei-Lung Liang ◽  
...  

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
A. Wacker-Gussmann ◽  
T. Esser ◽  
S. M. Lobmaier ◽  
M. O. Vogt ◽  
E. Ostermayer ◽  
...  

Prenatal diagnosis of a huge coronary artery fistula between the left coronary artery and the right ventricle was made by Doppler echocardiography at 22 weeks of gestation. Progression of the dilated fistula was monitored throughout pregnancy. The size of the fistula increased enormously up to 11 mm. Death occurred at birth. Monitoring of these fetuses is essential as severe complications can occur during pregnancy or at birth.


2021 ◽  
Vol 5 (7) ◽  
Author(s):  
Aayush Patel ◽  
Anastasia Vlachadis Castles ◽  
Naveen Sharma ◽  
William van Gaal

2018 ◽  
Vol 2018 ◽  
pp. 1-4
Author(s):  
Amy Mertens ◽  
Pratik Dalal ◽  
Michael Ashbrook ◽  
Ivan Hanson

Traumatic vessel perforation is a potential complication of chronic total occlusion (CTO) percutaneous coronary artery intervention (PCI). A rare consequence of this complication is a coronary-cameral fistula. The management of this condition is not well elucidated. Herein, we present such a case of symptomatic left anterior descending to the right ventricle (LAD-RV) fistula which was treated with coil embolization.


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