Traumatic ventricular septal defect and delayed post-pericardiotomy ventricular herniation.
A knife wound of the heart produced a ventricular septal defect. Surgical repair of a myocardial laceration and pericardiotomy for relief of cardiac tamponade were performed. Progressive exercise intolerance developed over an 8-year period. In addition, the patient experienced intermittent partial cardiac herniation resulting in angina-like chest pain. The patient is now asymptomatic after correction of the pericardial defect and closure of the ventricular septal defect.
D000328:Adult; D006346:Heart Septum / Q000293:injuries*; D006352:Heart Ventricles / Q000293:injuries*; D006547:Hernia / Q000209:etiology*; D006801:Humans; D008297:Male; D010496:Pericardium / Q000601:surgery*; D011183:Postoperative Complications; D013997:Time Factors; D014951:Wounds, Stab / Q000150:complications*