Official Publication of the National Center for Trauma Research Trauma Monthly 2251-7464 18 2 2013 09 01 Undetected Aorto-RV Fistula With Aortic Valve Injury and Delayed Cardiac Tamponade following a Chest Stab Wound: A Case Report 95 97 99860 10.5812/traumamon.11607 EN Jamil Esfahanizadeh Mohammad AbbasiTashnizi AliAsghar Moeinipour Alireza Sepehri Shamloo Journal Article Introduction: Although a few patients will survive after penetrating cardiac injuries, some of them may have unnoticeable intracardiac injuries. The combination of aorto-right ventricular fistula with aortic valve injury is rare. Case Presentation: A 19 year-old man referred with an aorto-right ventricular fistula accompanied with aortic regurgitation and delayed tamponade following a stab in the chest. The patient was scheduled for fistula repair, aortic valve replacement and pericardectomy two months after trauma. Conclusions: To prevent missing intracardiac injury and also late cardiac injury complications, in all pericordial stab wounds, serial clinical examinations and serial echocardiography should be performed. In addition, cardiac injuries should be repaired during the same hospital stay. https://www.traumamon.com/article_99860_5de03db2503e0e01b566945a7561d27c.pdf