Cardiovascular Surgery and Interventions 2018, Vol 5, Num 3 Page(s): 040-042
Penetrating cardiac trauma mimicking congenital sinus Valsalva aneurysm rupture: A case report

Ahmet Barış Durukan1, Ahmet Ünlü1, Ali Cevat Tanalp2

1Department of Cardiovascular Surgery, Medical Park Uşak Hospital, Uşak, Turkey
2Department of Cardiology, Medical Park Uşak Hospital, Uşak, Turkey

Keywords: Congenital sinus; heart injuries; penetrating injuries; Valsalva aneurysm rupture
Penetrating cardiac injuries are rare, but often fatal. They may present with different manifestations. A 30-year-old male patient was admitted with self-inflicted left parasternal stab wound in the second intercostal space. Computed tomography revealed pericardial and pleural effusion. Echocardiography and aortography showed severe aortic regurgitation and aorto-right ventricular communication mimicking a congenital sinus Valsalva aneurysm rupture. The patient was operated and aortic leaflet repair with a pericardial patch and closure of the communication on both aortic and right ventricular sides were performed. In conclusion, although such traumatic injuries are rare, they may be life-threatening and, therefore, requires prompt treatment.

DOI : 10.5606/e-cvsi.2018.687