title: Undetected Aorto-RV Fistula With Aortic Valve Injury and Delayed Cardiac Tamponade following a Chest Stab Wound: A Case Report.
abstract: BACKGROUND
  Although a few patients will survive after penetrating cardiac injuries, some of them may have unnoticeable intracardiac injuries. The combination of aorto-right ventricular fistula with aortic valve injury is rare.
  
  
  METHODS
  A 19 year-old man referred with an aorto-right ventricular fistula accompanied with aortic regurgitation and delayed tamponade following a stab in the chest. The patient was scheduled for fistula repair, aortic valve replacement and pericardectomy two months after trauma.
  
  
  CONCLUSIONS
  To prevent missing intracardiac injury and also late cardiac injury complications, in all pericordial stab wounds, serial clinical examinations and serial echocardiography should be performed. In addition, cardiac injuries should be repaired during the same hospital stay.
authors.affiliation: Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Jamil
authors.initials: J
authors.lastname: Esfahanizadeh
authors.affiliation: Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Abbasi Tashnizi
authors.affiliation: Department of Cardiac Surgery, Imam Reza Hospital, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Ali Asghar
authors.initials: AA
authors.lastname: Moeinipour
authors.affiliation: Student Research Committee, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran.
authors.forename: Alireza
authors.initials: A
authors.lastname: Sepehri Shamloo
keywords: Aorta; Cardiac Tamponade; Fistula; Heart Injuries