title: [Unusual case: injury of the 4 heart valves in a patient with old heart injury caused by fire arm. Review of the literature].
abstract: We review the literature on heart wounds. Along the history surgeons regarded heart wounds as forbidden place for therapeutic approach. We present a patient who sustained a bullet wound to the heart and two years later 3 knife' stabs in the same place injuring its 4 valves and inducing 2 fistulae: one from the aorta to the pulmonary artery, the other from left-ventricle and the pulmonary artery. Surgery was successful in repairing the damage without the need of valve replacement.
authors.affiliation: Instituto Nacional de Cardiología Ignacio Chávez, INCICH, México, D.F.
authors.forename: A
authors.initials: A
authors.lastname: Juárez Hernández
authors.forename: H
authors.initials: H
authors.lastname: Martínez de Alva Córdova
authors.forename: R
authors.initials: R
authors.lastname: Barragán García
mesh_terms: D000328:Adult; D006335:Heart Injuries / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006351:Heart Valves / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D013997:Time Factors; D014948:Wounds, Gunshot / Q000150:complications* / Q000175:diagnosis / Q000601:surgery
vernacular_title: Un caso insólito: lesión de las 4 válvulas cardiacas en un paciente con lesión cardiaca antigua por proyectil de arma de fuego. Revisión de la literatura.