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Ann Thorac Surg 2007;83:2207-2210
© 2007 The Society of Thoracic Surgeons

Case Reports

Atrial Septal Rupture, Flail Tricuspid Valve, and Complete Heart Block Due to Nonpenetrating Chest Trauma

Axel Thors, DOa,b,*, Ralph Guarneri, MDb, Eugene N. Costantini, MDb, Gary J. Richmond, MDb

a Department of Surgery, Good Samaritan Hospital, Cincinnati, Ohio
b Divisions of General and Cardiothoracic Surgery, Broward General Medical Center, and affiliation with Nova Southeastern College of Osteopathic Medicine, Department of Surgery, Ft Lauderdale, Florida

Accepted for publication December 27, 2006.

* Address correspondence to Dr Thors, c/o Amy Engel, Hatton Institute Floor 11J, Good Samaritan Hospital, 375 Dixmyth Ave, Cincinnati, OH 45220 (Email: amy_engel{at}trihealth.com).

This is a report of a patient with an atrial septal defect with right-to-left shunting, flail tricuspid valve, and complete heart block secondary to blunt chest trauma after a motor vehicle accident. The patient surgically repaired with pericardial recreation of atrial septum, bioprosthetic tricuspid valve replacement, and pacemaker insertion. The patient had minimal problems during the hospital course and subsequently made a full postsurgical recovery.






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Copyright © 2007 by The Society of Thoracic Surgeons.