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The Annals of Thoracic Surgery, Vol 28, 530-536, Copyright © 1979 by The Society of Thoracic Surgeons

ARTICLES

Surgical management of traumatic intracardiac injuries

HH Whisennand, SA Van Pelt, AC Beall Jr, KL Mattox and R Espada

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 marded 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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				C. H. Friesen, J. G. Howlett, and D. B. Ross Traumatic coronary artery fistula management Ann. Thorac. Surg., June 1, 2000; 69(6): 1973 - 1982. [Abstract] [Full Text] [PDF]