TY - JOUR
T1 - Cardiac Complications
T2 - Results of Penetrating Chest Wounds Involving the Heart
AU - Heller, Richard F.
AU - Rahimtoola, Shahbudin H.
AU - Ehsani, Ali
AU - Johnson, Sarah
AU - Boyd, David R.
AU - Tatooles, Constantine J.
AU - Loeb, Henry S.
AU - Rosen, Kenneth R.
PY - 1974/1/1
Y1 - 1974/1/1
N2 - Twenty-seven patients had penetrating chest trauma that involved the heart during a 21-month period of a prospective study. One patient died. Seventeen patients were treated with emergency surgery. Electrocardiograms showed pericarditis changes in all patients. Fifteen patients (56%) developed 18 cardiac complications. Five of these (33%) needed definitive therapy. Cardiac complications included (1) late onset hemopericarditis and cardiac tamponade; (2) myocardial infarction; (3) complete heart block; (4) intracardiac defects (including ventricular septal defect, aorto-right ventricular communication with aortic incompetence, and a combination of the two), and (5) anterior descending coronary artery aneurysm with coronary arteriovenous fistula and left ventricular aneurysm. There is a high incidence of serious cardiac complications in patients with penetrating chest trauma involving the heart, and close follow-up of these patients is important.
AB - Twenty-seven patients had penetrating chest trauma that involved the heart during a 21-month period of a prospective study. One patient died. Seventeen patients were treated with emergency surgery. Electrocardiograms showed pericarditis changes in all patients. Fifteen patients (56%) developed 18 cardiac complications. Five of these (33%) needed definitive therapy. Cardiac complications included (1) late onset hemopericarditis and cardiac tamponade; (2) myocardial infarction; (3) complete heart block; (4) intracardiac defects (including ventricular septal defect, aorto-right ventricular communication with aortic incompetence, and a combination of the two), and (5) anterior descending coronary artery aneurysm with coronary arteriovenous fistula and left ventricular aneurysm. There is a high incidence of serious cardiac complications in patients with penetrating chest trauma involving the heart, and close follow-up of these patients is important.
UR - http://www.scopus.com/inward/record.url?scp=84942560210&partnerID=8YFLogxK
U2 - 10.1001/archinte.1974.00320210101014
DO - 10.1001/archinte.1974.00320210101014
M3 - Article
SN - 0003-9926
VL - 134
SP - 491
EP - 496
JO - Archives of internal medicine
JF - Archives of internal medicine
IS - 3
ER -