Thoracic Injuries – ABC CARDIOL

IJCS

Case Report

Surgical Resolution of Penetrating Cardiac Injury: A Case Report of a Serrated Knife Blade Blow

Jaísse Valente Cruz et al. Adnaldo da Silveira Maia Giovana dos Santos Couto Giselle Macedo de Souza

Abstract

Severe cardiac injuries, such as blunt or penetrating injuries caused by bladed weapons, require early diagnosis, usually by electrocardiography, tomography, and Focused Assessment With Sonography in Trauma (FAST). This study describes a case of penetrating cardiac trauma successfully treated by surgical intervention. During surgery, the medical team identified a serrated knife blade in the anterior chest wall, associated with a rib fracture and pericardial injury, without compromising the diaphragm. The patient had a positive outcome after the intervention. Effective management of these injuries depends on understanding the trauma mechanism and the patient’s characteristics, allowing for a rapid response and potentially life-saving therapies.

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ABCIC

Case Report

Acute Myocardial Infarction Following Blunt Chest Trauma

Rafael Castro da Silva et al. Ilan Gottlieb Gabriella Andrade de Sá Alex dos Santos Felix … Daniella Bastos Rawet Mariah Rodrigues Paulino Emanuelle Ferreira Adriano Milton Ricardo Poffo André Luiz da Fonseca Feijó

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ABC

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Mitral Valve Aneurysm Secondary to Probable Infective Endocarditis

Anne Paula Delgado et al. Pedro Mendes Gama

We report the case of a 54-year-old male with a history of chest trauma in 2011, complicated by bacteremia caused by methicillin-sensitive Staphylococcus aureus (MSSA). In 2012, the patient was diagnosed with spondylodiscitis, and in 2013, he was referred to cardiology for dyspnea. Transthoracic echocardiography (TTE) showed an aneurysm of the posterior leaflet of the mitral valve. Transesophageal echocardiography (TEE) confirmed the presence of the aneurysm, which caused severe valvular insufficiency.

Although infective endocarditis was never confirmed, after reviewing his medical records, the authors concluded that this condition was probably associated with mitral valve aneurysm.

[…]

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ABC

Case Report

Tricuspid valve lesion due to penetrating chest trauma

Renata de Carvalho Bicalho Carneiro et al. Fernanda de Azevedo Figueiredo Luciana Campomizzi Calazans Marcelo Martins Pinto Filho … Daniel Furtado Vidigal Maria do Carmo Pereira Nunes

Tricuspid valve lesions caused by penetrating chest trauma are rare and often underdiagnosed. The objective of this report is to describe a case of severe tricuspid insufficiency secondary to a knifing incident with an insidious evolution, diagnosed 19 years after the incident. The case emphasizes the importance of adequate follow-up of patients that are victims of penetrating chest trauma for a long period after the injury, to detect possible late complications of the trauma.

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ABC

Case Report

Myocardial infarction caused by coronary artery injury after a blunt chest trauma

Márcio Silva Miguel Lima et al. Jeane Mike Tsutsui Victor Sarli Issa

We report the case of a 29-year-old man, victim of a car accident, who suffered a severe blunt chest trauma, with evolving congestive heart failure. He had previously had a good overall health status, with no symptoms of cardiovascular disease. At the initial assessment, the electrocardiogram showed Q waves in the precordial leads and the echocardiogram disclosed severe left ventricular dysfunction. Coronary angiogram showed a proximal left anterior descending coronary artery lesion, with anterior wall akinesis on contrast-enhanced ventriculography. A Thallium-201 single photon emission computed tomography (SPECT) showed no viability. He remained on medical treatment with good evolution.

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Surgical Resolution of Penetrating Cardiac Injury: A Case Report of a Serrated Knife Blade Blow

Abstract

Acute Myocardial Infarction Following Blunt Chest Trauma

Mitral Valve Aneurysm Secondary to Probable Infective Endocarditis

Tricuspid valve lesion due to penetrating chest trauma

Myocardial infarction caused by coronary artery injury after a blunt chest trauma

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