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Self-inflected ventricular septal defect.

D G Leaver, R N Sharma, J S Glennie

    British Heart Journal
    |July 1, 1970
    PubMed
    Summary
    This summary is machine-generated.

    This case report details the first survival after a self-inflicted stab wound to the heart. Surgical repair of the right ventricle, papillary muscle, and ventricular septum was performed, with a residual shunt noted.

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    Area of Science:

    • Cardiology
    • Trauma Surgery
    • Medical Case Reports

    Background:

    • Penetrating cardiac injuries are often fatal.
    • Self-inflicted stab wounds to the heart are rare and carry a high mortality rate.
    • Survival following such injuries presents unique surgical challenges.

    Purpose of the Study:

    • To report the first documented case of survival after a self-inflicted penetrating knife wound to the heart.
    • To describe the surgical management and outcomes of this rare injury.

    Main Methods:

    • A 12 cm knife blade penetrated the right ventricle, damaging a papillary muscle and causing a ventricular septal perforation.
    • Emergency cardiotomy was performed for surgical repair.
    • The stab wound and papillary muscle were sutured, and the ventricular septal defect was closed.

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    Main Results:

    • The patient survived the initial injury and surgical intervention.
    • Primary repair of the right ventricular free wall and papillary muscle was successful.
    • A small residual left-to-right shunt at the ventricular level was observed post-operatively.

    Conclusions:

    • Survival is possible following a self-inflicted penetrating cardiac injury with prompt surgical intervention.
    • Complex cardiac repairs, including papillary muscle and septal defects, can be achieved.
    • Post-operative monitoring for residual shunts is crucial.