title: Atrial septal rupture, flail tricuspid valve, and complete heart block due to nonpenetrating chest trauma.
abstract: This is a report of a patient with an atrial septal defect with right-to-left shunting, flail tricuspid valve, and complete heart block secondary to blunt chest trauma after a motor vehicle accident. The patient surgically repaired with pericardial recreation of atrial septum, bioprosthetic tricuspid valve replacement, and pacemaker insertion. The patient had minimal problems during the hospital course and subsequently made a full postsurgical recovery.
authors.affiliation: Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio 45220, USA. amy_engel@trihealth.com
authors.forename: Axel
authors.initials: A
authors.lastname: Thors
authors.forename: Ralph
authors.initials: R
authors.lastname: Guarneri
authors.forename: Eugene N
authors.initials: EN
authors.lastname: Costantini
authors.forename: Gary J
authors.initials: GJ
authors.lastname: Richmond
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001705:Bioprosthesis; D002304:Cardiac Pacing, Artificial; D004452:Echocardiography; D004562:Electrocardiography; D006325:Heart Atria; D006327:Heart Block / Q000209:etiology / Q000628:therapy; D006335:Heart Injuries / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery*; D006346:Heart Septum / Q000293:injuries; D006350:Heart Valve Prosthesis; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D010496:Pericardium / Q000637:transplantation; D014261:Tricuspid Valve / Q000293:injuries / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000150:complications*