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Thorac Cardiovasc Surg 1984; 32(6): 386-388
DOI: 10.1055/s-2007-1023431
Case Report

© Georg Thieme Verlag Stuttgart · New York

Aorto-right Ventricular Shunt and Associated Aortic Valve Injury Resulting from a Penetrating Wound of the Heart

J. R. Seguin1 , P. Bouillon1 , Ph. Aubry1 , J. Acar2 , J. P. Cachera1
  • 1Department of Thoracic and Cardiovascular Surgery, Henri Mondor Hospital, Créteil, France,
  • 2Cardiovascular Department, Tenon Hospital, Paris, France
Further Information

Publication History

1984

Publication Date:
19 March 2008 (online)

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Summary

A case of a traumatic aorto-right ventricular fistula associated with an aortic valve injury and subsequent successful treatment is reported. A possible delay in diagnosis necessitates foUow-up of patients after penetrating thoracic wounds. Early surgical treatment is mandatory because of the risks of both heart failure and endocarditis and because of the low operative morbidity. An aortic approach appears to be preferable because it permits repair of both the fistula and the valvular injury. Reconstruction of valvular injuries is preferable since long-term competence without prosthetic replacement can be achieved.

Key words

Wound of the heart - Traumatic L.R. shunt - Traumatic aortic insufficiency