title: [Complex cardiac lesion diagnosed more than 20 years after the causal injury].
abstract: Penetrating wounds of the heart, when not immediately fatal, may give rise to complex lesions associating valvular regurgitations and fistulous connections. The authors report the case of a patient with mitral and aortic regurgitation associated with an aorto-left atrial fistula of traumatic origin and causing invalidating cardiac failure. The interest of this particular case lies in the duration of the interval between the causal trauma and the appearance of symptoms (over 20 years). Complete surgical repair of the lesions provided a good functional result. The authors discuss the different types of lesions which may be caused by wounds of the heart and their modes of presentation.
authors.affiliation: Service de cardiologie, centre hospitalier Robert-Ballanger, Aulnay-sous-Bois.
authors.forename: J P
authors.initials: JP
authors.lastname: Maroni
authors.forename: M
authors.initials: M
authors.lastname: Terdjman
authors.forename: J M
authors.initials: JM
authors.lastname: Montély
authors.forename: M
authors.initials: M
authors.lastname: Ghannem
authors.forename: P
authors.initials: P
authors.lastname: Mesnildrey
authors.forename: G
authors.initials: G
authors.lastname: Hanania
mesh_terms: D001022:Aortic Valve Insufficiency / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D017548:Echocardiography, Transesophageal; D005402:Fistula / Q000209:etiology; D006325:Heart Atria; D006331:Heart Diseases / Q000175:diagnosis* / Q000209:etiology; D006335:Heart Injuries / Q000150:complications / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology; D013997:Time Factors; D014951:Wounds, Stab / Q000150:complications