Citation

Ngo KD, Pian P, Hanfland R, Nichols CS, Merritt GR, Campbell D, Ing RJ. Pediatr. Emerg. Care 2015; 32(7): 468-471.

Affiliation

From the *Department of Anesthesiology, †Department of Cardiothoracic Surgery, Children's Hospital Colorado, University of Colorado Hospital, Aurora, CO.

Copyright

(Copyright © 2015, Lippincott Williams and Wilkins)

DOI

10.1097/PEC.0000000000000556

PMID

26466145

Abstract

All-terrain vehicle (ATV) accidents leading to severe morbidity and mortality are common. At our institution, 2 children presented within weeks of each other after ATV accidents. Both children required cardiac valve surgery. The surgical management of these 2 children is discussed, and the literature is reviewed. On initial patient presentation, the diagnosis of a ruptured cardiac valve or ventricular septal defect (VSD) associated with these types of accidents is often delayed. We propose that patients presenting with evidence of high-energy blunt thoracic trauma after an ATV accident should undergo an electrocardiogram, cardiac enzyme assessment, and cardiac echocardiogram as part of the initial work-up to rule out significant myocardial injury.

Language: en