Undetected Aorto-RV Fistula With Aortic Valve Injury and Delayed Cardiac Tamponade following a Chest Stab Wound: A Case Report

Esfahanizadeh, Jamil; AbbasiTashnizi, Mohammad; Moeinipour, AliAsghar; Sepehri Shamloo, Alireza

doi:10.5812/traumamon.11607

Undetected Aorto-RV Fistula With Aortic Valve Injury and Delayed Cardiac Tamponade following a Chest Stab Wound: A Case Report

Authors

Jamil Esfahanizadeh

Mohammad AbbasiTashnizi

AliAsghar Moeinipour

Alireza Sepehri Shamloo

10.5812/traumamon.11607

Abstract

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.

Keywords

Heart Injuries

Cardiac tamponade

Aorta

Fistula