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Echocardiographic Evaluation of Atrial Communications before Transcatheter Closure
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Penetrating trauma to the tricuspid valve and ventricular septum: delayed repair

J R Doty1, D E Cameron, T Elmaci

  • 1Division of Cardiac Surgery, The Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.

The Annals of Thoracic Surgery
|March 23, 1999
PubMed

Insights

Penetrating cardiac trauma, like gunshot wounds, can damage multiple heart chambers. Thorough examination during surgery is crucial for repairing complex injuries such as ventricular septal defects and valve damage.

Area of Science:

  • Cardiovascular Surgery
  • Trauma Surgery
  • Cardiac Anatomy

Background:

  • Penetrating cardiac trauma presents diverse intracardiac injuries.
  • Missile injuries pose challenges due to potential multi-chamber involvement.
  • Early identification of all injuries is critical for optimal patient outcomes.

Observation:

  • A case of late repair for a gunshot wound is presented.
  • The injury involved a traumatic ventricular septal defect and tricuspid valve perforation.
  • Diagnosis and repair were performed during a delayed surgical intervention.

Findings:

  • Successful late repair of a complex ventricular septal defect and tricuspid valve perforation.
  • Demonstrates the possibility of successful intervention despite initial diagnostic challenges.
  • Highlights the importance of meticulous intraoperative assessment.

Implications:

  • Emphasizes the need for comprehensive intracardiac anatomical evaluation in penetrating cardiac trauma.
  • Informs surgical strategies for managing delayed presentations of complex cardiac injuries.
  • Underscores the value of thorough surgical exploration beyond initial emergent findings.

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