Abstract
We report a 16-year-old boy, who suffered a right vent ride penetrating injury caused by a sharp blade that evolved to cardiac tampon. He underwent surgery and was discharged four days later. Thirteen days later, a cardiac murmur was found. An echocardiography showed an aorta-right ventricular fistula. Surgical closure was performed through an aortotomy on cardiopulmonary by pass. The control echocardiography showed a small residual fistula, which closed spontaneously three months later.
Highlights
We report a 16-year-old boy, who suffered a right ventricle penetrating injury caused by a sharp blade, that evolved to cardiac tamponade
La lesión se reparó y se fijó el “flap” con puntos separados de polipropileno
Dada la evolución clínica de nuestro paciente creemos que en el caso de presentarse filtraciones residuales post cierre quirúrgico, puede considerarse una conducta expectante
Summary
We report a 16-year-old boy, who suffered a right ventricle penetrating injury caused by a sharp blade, that evolved to cardiac tamponade. No encontramos comunicaciones de una fístula residual post cierre quirúrgico, que haya evolucionado con cierre espontáneo. Presentamos un caso de fístula aortoventricular derecha traumática en que se realizó el cierre quirúrgico y se demostró una fístula residual: ésta se manejó en forma conservadora y cerró espontáneamente.
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