Late presentation of aorto-right ventricular fistula and associated aortic regurgitation following penetrating chest trauma

We present a case in which a 39-year-old man was assaulted in 2002 and sustained penetrating chest trauma. He was treated conservatively, and presented six years later with exertional dyspnoea and a continuous murmur. Echocardiography detected an aorta-right ventricular fistula and an important aort...

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Veröffentlicht in:Cardiovascular journal of Africa 2009-11, Vol.20 (6), p.357-359
Hauptverfasser: Theron, J P, Du Theron, H, Long, M, Marx, J D
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Sprache:eng
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Zusammenfassung:We present a case in which a 39-year-old man was assaulted in 2002 and sustained penetrating chest trauma. He was treated conservatively, and presented six years later with exertional dyspnoea and a continuous murmur. Echocardiography detected an aorta-right ventricular fistula and an important aortic regurgitation. The aorta-right ventricular fistula was repaired and the aortic valve was replaced with a mechanical prosthesis. Traumatic aorto-right ventricular fistulas and aortic regurgitation are often masked by the primary injury and may take months or years to become clinically evident.
ISSN:1995-1892