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Obscure traumatic cardiac lesion after a penetrating chest injury: Review of the literature
Author(s) -
Chok Kenneth SiuHo,
Tong Daniel KingHung,
Yuen WaiKey,
Au Timmy WingKuk,
Cheung David LikChing
Publication year - 2007
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/j.1744-1633.2007.00345.x
Subject(s) - medicine , intracardiac injection , thoracotomy , surgery , shunting , lesion
We report a young man who sustained a penetrating chest injury after an assault. He was immediately transferred from a regional hospital to Queen Mary Hospital for definitive treatment after initial stabilization. Emergent thoracotomy was done in the operating theatre and primary repair of a cardiac laceration was performed. Postoperative transoesophageal echocardiography showed a large residual ventricular septal laceration with significant left to right intracardiac shunting. He had an open repair in a cardiac surgery centre the next day. A 1.5 cm laceration was found at the ventricular septum and repair was performed. Postoperative transoesophageal echocardiography showed no further ventricular septal defect. He underwent uneventful recovery and was discharged on day 6 postoperation. Follow up at 1 month postoperation did not show any abnormalities and he subsequently defaulted further follow up.