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Multiple Cardiac Lesions from Blunt Trauma.

PELLEGRINI, RONALD V. M.D.; LAYTON, THOMAS R. M.D.; DIMARCO, ROSS F. M.D.; GRANT, KATHLEEN J. M.D.; MARRANGONI, ALBERT G. M.D.
Journal of Trauma-Injury Infection & Critical Care:
ORIGINAL ARTICLE: PDF Only
Abstract

Blunt chest trauma may produce a variety of cardiac lesions, which may occur alone or in combination. A case with a ventricular septal defect, left ventricular aneurysm, and coronary arteriovenous fistula with an associated rupture of the thoracic aorta following blunt trauma is presented in order to demonstrate that multiple, life-threatening cardiac lesions may be managed successfully. Surgical repair 32 days postinjury with Teflon patch plus ligation of the fistula were followed by recovery in the patient presented.

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