Self-inflicted stab wound causing aorto-right ventricular fistula.

Self-inflicted stab wound causing aorto-right ventricular fistula.

Traumatic aorto-right ventricular fistula from stab wound

Penetrating cardiac injuries are commonly instantaneously lethal. However, numerous delayed manifestations of cardiac injury, including traumatic ventricular septal defect, ventricular aneurysms, right pulmonary artery to left atrial fistula, valvular regurgitation, and aorto-right ventricular fistula, are all described in the literature. Here, we present a case of aorto-right ventricular fistu...

A late complication from a self-inflicted stab wound.

Rupture of the diaphragm following penetrating injuries to the lower chest and upper abdomen is reported in as many as 10-15% of victims. The diagnosis may not be clinically apparent in the acute phase and routine investigations are often inadequate to identify any defect. Failure to detect the injury at the time ofpresentation may result in herniation of the abdominal contents into the chest c...

Acute aortic dissection complicated by aorto-right ventricular fistula.

A 68-year-old man with a history of systemic hypertension and chronic renal failure was admitted to our emergency department with chest pain and dyspnea. He had undergone tube graft replacement of the ascending aorta due to an acute type A aortic dissection 10 years previously. On admission he was hypertensive and tachycardic with a continuous murmur at the left upper sternal border. The electr...

Acquired Aorto-Right Ventricular Fistula following Transcatheter Aortic Valve Replacement

Transcatheter aortic valve replacement (TAVR) techniques are rapidly evolving, and results of published trials suggest that TAVR is emerging as the standard of care in certain patient subsets and a viable alternative to surgery in others. As TAVR is a relatively new procedure and continues to gain its acceptance, rare procedural complications will continue to appear. Our case is about an 89-yea...