Stab Wound to the Right Ventricle With Creation of Ventricular Septal Defect Managed With an Endovascular Occlusive Patch

Author:

Anthony Zimmerman S.12ORCID,McGrew Patrick R.13

Affiliation:

1. University Medical Center New Orleans, New Orleans, LA, USA

2. Department of Surgery, Louisiana State University Health Sciences Center, New Orleans, LA, USA

3. Department of Surgery, Tulane University, New Orleans, LA, USA

Abstract

Penetrating trauma to the cardiac box is associated with high rates of cardiac injury, structural complications, morbidity, and mortality. Early identification and intervention of these injuries is paramount to obtaining good patient outcomes. In this paper, we report a 55-year-old male who sustained a single stab wound to left chest which perforated the right ventricle. The patient also sustained a muscular ventricular septal defect (VSD) which led to a prolonged intensive care unit (ICU) course complicated by late pericardial tamponade. We present successful management of this patient’s initial injury along with his ICU course culminating in successful endovascular occlusive patch VSD repair.

Publisher

SAGE Publications

Subject

General Medicine

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