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Ann Thorac Surg 1979;28:530-536
© 1979 The Society of Thoracic Surgeons

Articles

Surgical Management of Traumatic Intracardiac Injuries

Hartwell H. Whisennand, M.D.*, Stephen A. Van Pelt, M.D., Arthur C. Beall, Jr., M.D., Kenneth L. Mattox, M.D., Rafael Espada, M.D.

From the Cora and Webb Mading Department of Surgery, Baylor College of Medicine, and the Ben Taub General Hospital, Houston, TX.

* Address reprint requests to Dr. Whisennand, 1200 Moursund Ave, Houston, TX 77030.

Today, surgeons are able to manage both blunt and penetrating wounds of the heart with increasing success, including those with associated intracardiac injuries. After diagnosis by cardiac catheterization, substantial intracardiac lesions are repaired using cardiopulmonary bypass.

Among more than 300 patients treated for cardiac wounds in our city-county hospital in recent years, 15 were found to have marked intracardiac defects. These defects included ventricular septal defects, aorta-right ventricle fistulas, aortic valve injuries, a mitral valve injury, and a coronary artery-right ventricle fistula.

Thirteen of the 15 patients required repair of the intracardiac defects. One was repaired acutely and 12 were repaired electively. All 15 patients were alive and asymptomatic at the time of writing.




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