TY  - JOUR
PY  - 2023//
TI  - Stabbed in the right place: the millimetric line between luck and disaster
JO  - Revista portuguesa de cardiologia
A1  - Marques, Catarina Amaral
A1  - Mil-Homens, Francisco
A1  - Resende, Carlos Xavier
A1  - Fernandes, João
A1  - Gouveia, Daniela
A1  - Pinho, Paulo
A1  - Macedo, Filipe
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - A 22-year-old male was admitted to the emergency room due to left hemithorax injury  from a screwdriver (Figure 1A). The patient was hemodynamically stable, with a slightly altered mental status. Chest computed tomography was performed and revealed moderate pericardial effusion, leading to an evaluation by the cardiology emergency team. The transthoracic echocardiogram revealed severe aortic valve regurgitation, raising suspicion about aortic root injury, as well as fistulous communications between heart chambers (Figure 1B-D). These findings led to emergent surgery.     Intraoperative transesophageal echocardiogram images confirmed an injury path originating in the right ventricle, crossing the aortic valve root, and ending in the left atrium (Figure 2 A-C). An aortic valve replacement, closure of the aortic root fistulas and infundibular lesion were performed (Figure 2D). The patient had excellent postoperative recovery and was discharged after six days....<p />  <p>Language: pt</p>
LA  - pt
SN  - 0870-2551
UR  - http://dx.doi.org/10.1016/j.repc.2023.05.010
ID  - ref1
ER  -