Intraoperative cardiac sampling following penetrating wounds: a technique for early detection of traumatic intracardiac shunts--case report.
Intracardiac shunts complicating penetrating heart wounds may be unrecognized during the early postoperative period due to the insensitivity of noninvasive diagnostic tests. This case demonstrates the value of intraoperative cardiac sampling for oxygen saturation to identify an otherwise occult aorta-right ventricular fistula secondary to a precordial stab wound, ultimately progressing to a 1.9:1 shunt requiring operative repair.
Baxter
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BT
Department of Surgery, Denver General Hospital, CO 80204-4507.
Moore
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EE
Moore
F A
FA
Pomerantz
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M
D000328:Adult; D001021:Aortic Valve / Q000293:injuries / Q000601:surgery; D005260:Female; D005402:Fistula / Q000175:diagnosis*; D006331:Heart Diseases / Q000175:diagnosis*; D006335:Heart Injuries / Q000209:etiology / Q000601:surgery*; D006347:Heart Sounds; D006801:Humans; D007432:Intraoperative Period; D012086:Reoperation; D012850:Sinus of Valsalva / Q000293:injuries / Q000601:surgery; D014951:Wounds, Stab / Q000601:surgery*