@article{ref1,
title="A penetrating heart injury resulting in ventricular septal defect",
journal="Hellenic journal of cardiology: HJC = Hellenike kardiologike epitheorese",
year="2011",
author="Antoniades, Loizos and Petrou, Petros M. and Eftychiou, Christos and Nicolaides, Evagoras",
volume="52",
number="1",
pages="71-74",
abstract="Penetrating heart injuries can be lethal. Here we report a case of self-inflicted cardiac injury with glass fragments by a psychiatric patient. The patient presented with cardiogenic shock and was initially treated surgically for a large pneumothorax and cardiac tamponade. A few days later she presented with dyspnoea and hypotension. An echo-Doppler study was performed and an acquired post-traumatic ventricular septal defect (VSD) with left-to-right shunt was diagnosed. The patient was transferred to theatre where the defect was successfully repaired. Post-traumatic VSD is a rare complication of penetrating heart injuries and has a tendency to present late. Follow up of such cases is recommended with repeat echocardiography.<p /><p>Language: en</p>",
language="en",
issn="2241-5955",
doi="",
url="http://dx.doi.org/"
}