Cardiovascular Surgery and Interventions
2018, Vol 5, Num 3 Page(s): 040-042
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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.
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
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