کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3246833 1589154 2012 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Left Ventricular–Right Atrial Communication with Third-degree Atrioventricular Block after Thoracic Trauma
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
پیش نمایش صفحه اول مقاله
Left Ventricular–Right Atrial Communication with Third-degree Atrioventricular Block after Thoracic Trauma
چکیده انگلیسی

BackgroundIntracardiac shunts are rare but very serious lesions after non-penetrating chest trauma. Their diagnosis is difficult. This pathology often goes unrecognized in the context of multiple trauma.Case ReportWe report the case of a 21-year-old man involved in a motor vehicle crash who presented with multiple injuries including myocardial contusion, severe brain injury, multiple pelvic fractures, closed femur fracture, bilateral lung contusion with a right pneumothorax, and intra-abdominal injuries. Three days after the initial event, a new cardiac murmur and complete heart block appeared. Transthoracic echocardiography (echo) followed by transesophageal echo revealed a high-velocity flow communication between the left ventricle and the right atrium. The patient underwent delayed cardiac surgery due to other unstable injuries. The hospital course was prolonged but favorable, and the patient left the hospital 1 month later without any neurologic or cardiologic after-effect.ConclusionThis case highlights the potential for cardiac complications to occur in any patient with serious thoracic trauma. Transesophageal echo should be performed on any trauma patient with electrocardiographic abnormalities.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: The Journal of Emergency Medicine - Volume 43, Issue 6, December 2012, Pages e385–e388
نویسندگان
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