title: Acute Traumatic Right to Left Cardiac Shunt.
abstract: Cardiac injuries after penetrating chest trauma are uncommon but potentially life threatening; these injuries can remain occult during the early stage because of the cardiac reserve of youthful physiology and may present at a later stage as the initial damage progresses or compensatory mechanisms fail. We report a case of unusual penetrating cardiac trauma from a posterior intercostal stab wound that affected both the interatrial septum and the tricuspid valve, leading to a stormy presentation as a result of the development of an acute right-to-left shunt followed by a successful surgical repair.
authors.affiliation: Cardiac Surgery and Transplant Department, Golden Jubilee National Hospital, Glasgow, United Kingdom. Electronic address: ahmedoliemy@nhs.net.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Oliemy
authors.affiliation: Cardiac Surgery and Transplant Department, Golden Jubilee National Hospital, Glasgow, United Kingdom.
authors.forename: Balakrishnan
authors.initials: B
authors.lastname: Mahesh
authors.affiliation: Cardiac Surgery and Transplant Department, Golden Jubilee National Hospital, Glasgow, United Kingdom.
authors.forename: Vivek
authors.initials: V
authors.lastname: Pathi
mesh_terms: D054087:Atrial Septum / Q000293:injuries / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods; D002315:Cardiopulmonary Bypass / Q000379:methods; D017548:Echocardiography, Transesophageal / Q000379:methods*; D005500:Follow-Up Studies; D006335:Heart Injuries / Q000000981:diagnostic imaging* / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D008297:Male; D009104:Multiple Trauma / Q000000981:diagnostic imaging / Q000601:surgery*; D018570:Risk Assessment; D016896:Treatment Outcome; D014261:Tricuspid Valve / Q000293:injuries / Q000601:surgery; D014951:Wounds, Stab / Q000150:complications* / Q000175:diagnosis; D055815:Young Adult