56 yr old man with a history of depression, self inflicted wound with knife in suicide attempt. Went to local hospital and had emergency throacotomy and pericardial effusion evacuated, no cardiac injury needed repair. Transferred to us, required multiple thoracic surgeries for pulmonary complications, infections and eventually died
86780.8s Stab wound to the heart with a traumatic VSD. The 2D echo shows a muscular VSD with turbulent left to right shunting code heart cardiac trauma septum ventricle ventricular seprum ventricular septal defect muscular septum Courtesy Ravin Davidoff MD copyright 2009 all rights reserved
Courtesy Ravin Davidoff MD
52m-bullet wound to the heart sustainesd in 2002 with surgical closure Current CT shows contrast in two sites in the interventricular septum likely the path of the 2 bullets. It is uncertain whether there are remaining patent VSD’s tags heart left ventricle LV VSD trauma, bullet wound bullet-VSD-007b52m-bullet wound to the heart sustainesd in 2002 with surgical closure Current CT shows contrast in two sites in the interventricular septum likely the path of the 2 bullets. It is uncertain whether there are remaining patent VSD’s tags heart left ventricle LV VSD trauma, bullet wound bullet-VSD-007b52m-bullet wound to the heart sustainesd in 2002 with surgical closure Note bullet fragments by right scapula tags heart left ventricle LV VSD trauma, bullet wound bullet-VSD-52m-bullet wound to the heart sustainesd in 2002 with surgical closure Current CT shows contrast in two sites in the interventricular septum likely the path of the 2 bullets. It is uncertain whether there are remaining patent VSD’s tags heart left ventricle LV VSD trauma, bullet wound bullet-VSD-52m-bullet wound to the heart sustainesd in 2002 with surgical closure Current CT shows contrast in two sites in the interventricular septum likely the path of the 2 bullets. It is uncertain whether there are remaining patent VSD’s tags heart left ventricle LV VSD trauma, bullet wound bullet-VSD-52m-bullet wound to the heart sustainesd in 2002 with surgical closure Current CT shows contrast in two sites in the interventricular septum likely the path of the 2 bullets. It is uncertain whether there are remaining patent VSD’s tags heart left ventricle LV VSD trauma, bullet wound bullet-VSD-
