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Diario Oficial de la Sociedad Mexicana de Cirugía Cardiaca, A.C., y del Colegio Mexicano de Cirugía Cardiovascular y Torácica, A.C.

2017, Number 3

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Cir Card Mex 2017; 2 (3)

Comunicación interventricular secundaria a herida por arma punzocortante. Presentación de un caso

Alexis PJJ, Jiménez-Fernández CA, Masini-Aguilera ID, Montes-Espino HM, García-Alvarez E, Medina-Andrade MA

Language: Spanish
References: 9
Page: 108-110
PDF size: 170.02 Kb.


ABSTRACT

Penetrating heart wounds are a life-threatening condition requiring immediate and intensive surgical treatment. These represent one of the most common causes of death due to urban violence. Defects of the ventricular septum are the second in frequency among all cardiac shunts due to penetrating trauma. Findings vary and are related to defect size. The rupture of the interventricular septum is infrequent, which is often unnoticed despite the success of the initial surgery. The mechanism of production of ventricular septal defect most frequently associated with cardiac penetrating wounds is gunshot wounds, followed by stab wounds.
We present a case that required cardiac repair secondary to stab wound (knife) in the precordial region, which penetrated the anterior wall of the right ventricle, requiring a second intervention to treat a ventricular septal defect unnoticed in the initial operation.


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