RESUMO
Penetrating cardiac trauma has been increasing in clinical experience and is joined to important morbidity and mortality. A case of a 38-year-old female with history of postpartum depression was reported, admitted to our department for cardiac tamponade due to penetrating self-inflicted multiple stab wound of the chest complicated by rupture of anterior left ventricular wall and traumatic ventricular septal defect. Following the unstable hemodynamic instability, a combined therapeutic strategy was chosen: surgery and transcatheter implantation to correct free wall ventricle damage and traumatic ventricular septal defect, respectively.
Assuntos
Tamponamento Cardíaco/etiologia , Traumatismos Cardíacos/etiologia , Ferimentos Penetrantes/complicações , Adulto , Tamponamento Cardíaco/cirurgia , Angiografia Coronária , Ecocardiografia , Traumatismos Cardíacos/cirurgia , Humanos , Masculino , Equipe de Assistência ao Paciente , Comportamento Autodestrutivo/complicações , Ferimentos Penetrantes/cirurgiaRESUMO
Abstract Penetrating cardiac trauma has been increasing in clinical experience and is joined to important morbidity and mortality. A case of a 38-year-old female with history of postpartum depression was reported, admitted to our department for cardiac tamponade due to penetrating self-inflicted multiple stab wound of the chest complicated by rupture of anterior left ventricular wall and traumatic ventricular septal defect. Following the unstable hemodynamic instability, a combined therapeutic strategy was chosen: surgery and transcatheter implantation to correct free wall ventricle damage and traumatic ventricular septal defect, respectively.