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A case report of an aorto-pulmonary-venacaval fistula after penetrating cardiac injury

dc.contributor.authorKoen, Johannes Gerhardusen_ZA
dc.contributor.authorWagenaar, Riegardten_ZA
dc.contributor.authorJanson, Jacques T.en_ZA
dc.date.accessioned2021-01-11T08:40:12Z
dc.date.available2021-01-11T08:40:12Z
dc.date.issued2020-12-15
dc.identifier.citationKoen, J. G., Wagenaar, R. & Janson, J. T. 2020. A case report of an aorto-pulmonary-venacaval fistula after penetrating cardiac injury. European Heart Journal: Case Reports, 4:1-6, doi:10.1093/ehjcr/ytaa393
dc.identifier.issn2514-2119 (online)
dc.identifier.otherdoi:10.1093/ehjcr/ytaa393
dc.identifier.urihttp://hdl.handle.net/10019.1/108984
dc.descriptionCITATION: Koen, J. G., Wagenaar, R. & Janson, J. T. 2020. A case report of an aorto-pulmonary-venacaval fistula after penetrating cardiac injury. European Heart Journal: Case Reports, 4:1-6, doi:10.1093/ehjcr/ytaa393.
dc.descriptionThe original publication is available at https://academic.oup.com/ehjcr/
dc.descriptionPublication of this article was funded by the Stellenbosch University Open Access Fund
dc.description.abstractBackground: Penetrating cardiac injury (PCI) is an accepted burden in high violent crime areas. Traumatic intracardiac fistulae are however not that commonly detected on initial presentation, with most of these injuries being detected post-operatively or at routine follow-up. The literature is devoid of general principles around the pre-operative planning and intra-operative management in these cases, and thus warrant documented case reports by clinical units experienced in the management of these challenging clinical scenarios. Case summary: We describe a case report of a 29-year-old male patient presenting to our Cardiothoracic Unit with an aorto-pulmonary-venacaval fistula after a traumatic PCI. We describe the clinical presentation, diagnostic challenges, and institutional experience in the operative management of this case. Discussion: The patient was treated successfully with repair via sternotomy and femoral cardiopulmonary bypass with no neurological, pulmonary, or cardiac sequelae at early follow-up. The importance of selective pre-operative imaging in PCI, appropriate pre-operative surgical planning, and surgical experience in the management of these injuries is highlighted in this case presentation.en_ZA
dc.description.urihttps://academic.oup.com/ehjcr/article/4/6/1/6039069
dc.format.extent6 pagesen_ZA
dc.language.isoen_ZAen_ZA
dc.publisherOxford University Pressen_ZA
dc.subjectEchocardiographyen_ZA
dc.subjectCardiac injuryen_ZA
dc.subjectPenetrating injuriesen_ZA
dc.subjectDiagnostic cardiac imagingen_ZA
dc.titleA case report of an aorto-pulmonary-venacaval fistula after penetrating cardiac injuryen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderAuthors retain copyrighten_ZA


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