Acquired ventricular septal defect and mitral insufficiency without pericardial effusion after stab wound to the chest.
Echocardiography has a role in the management of acute complications of penetrating cardiac trauma. We report the case of a 30-year-old man who sustained a stab wound to the chest. In this case a traumatic perforation of the ventricular septum and the anterior leaflet of the mitral valve caused by a knife occurred without pericardial effusion. The diagnosis was made by transthoracic echocardiography. The ability of transesophageal echocardiography to delineate the intracardiac injuries more precisely helped to guide the surgical procedure.
Pasteuning
W H
WH
Department of Cardiology, Sint Elisabeth Ziekenhuis, Tilburg, The Netherlands.
Wonnink-de Jonge
W F
WF
van Berge Henegouwen
D P
DP
van der Aa
M A
MA
Penn
O C
OC
D000328:Adult; D018618:Echocardiography, Doppler, Color; D017548:Echocardiography, Transesophageal; D006335:Heart Injuries / Q000000981:diagnostic imaging / Q000209:etiology*; D006345:Heart Septal Defects, Ventricular / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D010490:Pericardial Effusion; D013898:Thoracic Injuries / Q000150:complications*; D014951:Wounds, Stab / Q000150:complications*