J Chest Surg.  2023 Nov;56(6):456-459. 10.5090/jcs.23.066.

A Knife Penetrating the Right Ventricle, Interventricular Septum, and 2 Valves: A Case Report

Affiliations
  • 1Section of Cardiac Surgery, Division of Cardiac, Thoracic, and Vascular Surgery, Columbia University Irving Medical Center, New York, NY, USA

Abstract

Penetrating chest trauma may result in significant intracardiac injury. A traumatic ventricular septal defect is a rare complication that requires surgical management, particularly if heart failure ensues. We report a case of delayed repair of an outlet-type ventricular septal defect and perforation of the aortic and pulmonary valve leaflets following a stab wound. This report highlights diagnostic and surgical considerations and also presents an opportunity to review the conotruncal anatomy, which may be relatively unfamiliar to many adult cardiac surgeons.

Keyword

Thoracic injuries; Penetrating wounds; Ventricular heart septal defects; Thoracic surgery; Case report
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