title: Cardiac Injury After All-Terrain Vehicle Accidents in 2 Children and a Review of the Literature.
abstract: All-terrain vehicle (ATV) accidents leading to severe morbidity and mortality are common. At our institution, 2 children presented within weeks of each other after ATV accidents. Both children required cardiac valve surgery. The surgical management of these 2 children is discussed, and the literature is reviewed. On initial patient presentation, the diagnosis of a ruptured cardiac valve or ventricular septal defect (VSD) associated with these types of accidents is often delayed. We propose that patients presenting with evidence of high-energy blunt thoracic trauma after an ATV accident should undergo an electrocardiogram, cardiac enzyme assessment, and cardiac echocardiogram as part of the initial work-up to rule out significant myocardial injury.
authors.affiliation: From the *Department of Anesthesiology, †Department of Cardiothoracic Surgery, Children's Hospital Colorado, University of Colorado Hospital, Aurora, CO.
authors.forename: Kimberly D
authors.initials: KD
authors.lastname: Ngo
authors.forename: Phillip
authors.initials: P
authors.lastname: Pian
authors.forename: Robert
authors.initials: R
authors.lastname: Hanfland
authors.forename: Christopher S
authors.initials: CS
authors.lastname: Nichols
authors.forename: Glenn R
authors.initials: GR
authors.lastname: Merritt
authors.forename: David
authors.initials: D
authors.lastname: Campbell
authors.forename: Richard J
authors.initials: RJ
authors.lastname: Ing
mesh_terms: D000293:Adolescent; D015415:Biomarkers / Q000097:blood; D002315:Cardiopulmonary Bypass; D002648:Child; D003937:Diagnosis, Differential; D004452:Echocardiography; D004562:Electrocardiography; D006335:Heart Injuries / Q000175:diagnosis* / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000293:injuries / Q000601:surgery; D015541:Off-Road Motor Vehicles; D010138:Pacemaker, Artificial; D014261:Tricuspid Valve / Q000293:injuries* / Q000601:surgery
chemical_list: D015415:Biomarkers