Traumatic Aortic Regurgitation, Ventricular Septal Defect and Fistula of the Sinus of Valsalva

Abstract

WITH the ever increasing sophistication in cardiac surgery previously lethal injuries of the heart can now be repaired. We are reporting the successful management of a complex penetrating wound of the heart.Case ReportA 41-year-old man was admitted to the hospital in shock 1/2 hour after he was stabbed in the left 3d interspace. Two pericardiocenteses were without any yield. After 1000 ml of whole-blood infusion the arterial pressure stabilized at 140/40. A continuous systolic and diastolic murmur was noted in the 3d left intercostal space. During the ensuing 5 days progressive congestive heart failure developed and failed to . . .