title: Delayed pericardial tamponade, mitral insufficiency and VSD after stab wound to the heart.
abstract: We report a case of delayed pericardial tamponade and presentation of a mitral insufficiency and traumatic ventricular septal defect (VSD) after a cardiac stab wound in an attempted suicide. Delayed tamponade in combination with a VSD and mitral valve injury is a rare complication after a stab wound to the heart. Normal echocardiographic findings, no murmur at admission and relatively benign clinical conditions may be misleading after cardiac trauma. The presented case links the rapid deterioration of the clinical condition and the development of a pericardial effusion to a Valsalva maneuver.
authors.affiliation: Department of Cardiovascular Surgery, University Giessen Marburg, Giessen, Germany. joerg.babin-ebell@web.de
authors.forename: J
authors.initials: J
authors.lastname: Babin-Ebell
authors.forename: P
authors.initials: P
authors.lastname: Roth
mesh_terms: D000328:Adult; D002305:Cardiac Tamponade / Q000209:etiology*; D006345:Heart Septal Defects, Ventricular / Q000209:etiology; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000293:injuries*; D008944:Mitral Valve Insufficiency / Q000209:etiology*; D011651:Pulmonary Artery / Q000293:injuries*; D014636:Valsalva Maneuver; D014951:Wounds, Stab / Q000150:complications*