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Ann Thorac Surg 1986;42:471-472
© 1986 The Society of Thoracic Surgeons
From the Department of Thoracic Cardiovascular Surgery, Mercy Hospital, Pittsburgh, PA
Accepted for publication December 7, 1985.
* Address reprint requests to Dr. Marrangoni, Mercy Hospital, Pride & Locust Sts, Pittsburgh, PA 15219
Younger patients are surviving extensive damage to the heart and supporting structures, often associated with multiple systems injuries. A 23-year-old patient who sustained blunt trauma to the chest resulting in a pericardial laceration, injury to tricuspid and mitral valves, myocardial contusion, and paresis of the left phrenic nerve is reported. Porcine bioprosthetic valve replacement of both atrioventricular valves was necessary. Prompt diagnosis and aggressive intervention of such injuries can lead to successful repair of complex cardiac trauma.
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