Right Ventricular Trauma

  • J. Lawrence Stafford
  • Carl L. Tommaso
  • Natesa G. Pandian
Part of the Developments in Cardiovascular Medicine book series (DICM, volume 83)


Injury is the most common cause of death in persons under 40 years of age in the United States. Thoracic trauma accounts for about 25% of all traumatic deaths, and cardiac injury is a major factor in many {1}. Traumatic heart disease was once felt to be only of interest to military physicians, however, the incidence of cardiac trauma is increasing due to motor vehi­cle accidents and violence in society {2}.


Ventricular Septal Defect Cardiac Tamponade Gunshot Wound Cardiac Injury Chest Trauma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. 1.
    Estrera As, Schreiber JT: Management of acute cardiac trauma. Card Cl 2: 239–256, 1984.Google Scholar
  2. 2.
    Committee on Trauma and Committee on Shock: Accidental death and disability: The neglected Washington, DC, National Academy of Sciences p 5, 1965.Google Scholar
  3. 3.
    Cheitlin MD, Abbott JA: The internist’s role in the recognition and management of cardiovascular trauma. Med Clin North Am 63: 201–221, 1979.PubMedGoogle Scholar
  4. 4.
    Parmley LF, Manion WC, Mattingly TW: Non-penetrating traumatic injury of the heart. Circulation 18: 371–396, 1958.PubMedGoogle Scholar
  5. 5.
    Chiu CL, Roelofs JD, Go RT, Doty DB, Rose EF, Christie JH: Coronary angiographic and scintigraphic findings in experimental cardiac contusion. Radiology 116: 679–683, 1975.PubMedGoogle Scholar
  6. 6.
    Watson JH, Bartholomae WM: Cardiac injury due to nonpenetrating chest trauma. Ann Intern Med 52: 871–874, 1960.PubMedGoogle Scholar
  7. 7.
    Saunders CR, Doty DB: Myocardial contusion. Surg Gynec Obstet 144: 595–603, 1977.PubMedGoogle Scholar
  8. 8.
    Jones JW, Hewitt RL, Drapanas T: Cardiac contusion: A capricious syndrome. Ann Surg 181: 567–573, 1975.PubMedCrossRefGoogle Scholar
  9. 9.
    Rose KD, Stone F, Fuenning SI, Williams J: Cardiac contusion resulting from “spearing” in football. Arch Intern Med 118: 129–131, 1966.PubMedCrossRefGoogle Scholar
  10. 10.
    Bodily K, Fischer RP: Aortic rupture and right ventricular rupture induced by closed chest cardiac massage. Minn Med 62: 225–227, 1979.PubMedGoogle Scholar
  11. 11.
    Gerry JL, Bulkley BH, Hutchins GM: Rupture of the papillary muscle of the tricuspid valve. A complication of cardiopulmonary resuscitation and a rare cause of tricuspid insufficiency. Am Cardiol 40: 825–828, 1977.CrossRefGoogle Scholar
  12. 12.
    DeMuth WE Jr, Zinsser HF: Myocardial contusion. Arch Intern Med 115: 434–442, 1965.PubMedGoogle Scholar
  13. 13.
    Najafi H, Lal R, Khalili M, Sery C, Rogers A, Hanklin M: Left ventricular hemorrhagic necrosis. Experimental production and pathogenesis. Ann Thorac Surg 12: 400–410, 1971.PubMedCrossRefGoogle Scholar
  14. 14.
    Jackson DH, Murphy GE: Nonpenetrating cardiac trauma. Mod Conc Cardiovasc Dis 45: 123–128, 1976.Google Scholar
  15. 15.
    Goodkind MJ, Bloomer WE, Goodyer AV: Recurrent pericardial effusion after non-penetrating chest trauma. N Engl J Med 263: 874–876, 1960.PubMedCrossRefGoogle Scholar
  16. 16.
    Inkley SR, Barry FM: Traumatic rupture of interventricular septum proved by cardiac catheterization. Circulation 18: 916–918, 1958.PubMedGoogle Scholar
  17. 17.
    Dolara A, Morando D, Pampaloni M: Electrocardiographic findings-98 consecutive non penetrating chest injuries. Dis Chest 52: 50–56, 1967.PubMedCrossRefGoogle Scholar
  18. 18.
    Cane RD, Buchanan N: The electrocardiographic and clinical diagnosis of myocardial contusion. Intensive Care Med 4: 99–102, 1978.PubMedCrossRefGoogle Scholar
  19. 19.
    Cane RD, Schamroght L: Prolongation of the Q-T interval with myocardial contusion. Heart Lung 7: 652–656, 1978.PubMedGoogle Scholar
  20. 20.
    Jackson DH: Transient post-traumatic right bundle branch block. Report of two cases. Am J Cardiol 23: 877–883, 1969.PubMedCrossRefGoogle Scholar
  21. 21.
    Dreifus LS: Dysrhythmias related to cardiac trauma. Chest 61: 310–311, 1972.PubMedCrossRefGoogle Scholar
  22. 22.
    Potkin, RT, Werner JA, Trobaugh GB, Chestnut CH, Carrico CJ, Hallstrom A, Cobb LA: Evaluation of noninvasive tests of cardiac damage in suspected cardiac contusion. Circulation 66: 627–531, 1982.PubMedCrossRefGoogle Scholar
  23. 23.
    Ingwall JS, Kramer MF, Fifer MA, Lorell BH, Sherwin R, Grossman W, Allen, PD: The creatine kinase system in normal and diseased myocardium. N EnglJ Med 313: 1050–1054, 1985.CrossRefGoogle Scholar
  24. 24.
    Pandian NG, Skorton DJ, Doty DB, Kerber RE: Immediate diagnosis of acute myocardial contusion by two-dimensional echocardiography: Studies in a canine model of blunt chest trauma. JACC 2: 488–496, 1983.PubMedGoogle Scholar
  25. 25.
    Miller FA, Seward JB, Gersh BJ, Tajik AJ, Mucha P: Two-dimensional echocardiographic findings in cardiac trauma. Am J Cardiol 50: 1022–1027, 1982.PubMedCrossRefGoogle Scholar
  26. 26.
    Brantigan CO, Burdick D, Hopeman AR, Eiseman B: Evaluation of technetium scanning for myocardial contusion. J Trauma 18: 460463, 1978.Google Scholar
  27. 27.
    Downey J, Chagrasulis R, Fore D, Parmley LF: Accumulation of technetium-99 m stannous pyrophosphate in contused myocardium. J Nucl Med 18: 1171–1175, 1977.PubMedGoogle Scholar
  28. 28.
    Waxman K, Soliman H, Braunstein P, Formosa P, Cohen AJ, Matursa R, Masm R: Diagnosis of traumatic cardiac contusion. Arch Sarg 121: 689–692, 1986.Google Scholar
  29. 29.
    Sturaitis M, McCallum D, Sutherland G, Cheung H, Driedger AA, Sibbald WJ: Lack of significant long-term sequelae following traumatic myocardial contusion. Arch Intern Med 146: 1765–1769, 1986.PubMedCrossRefGoogle Scholar
  30. 30.
    Mattox KL, Beall AC, Jordan GL, DeBakey ME: Cardiorrhaphy in the emergency center. J Thorac Cardiovasc Surg 68: 886–895, 1974.PubMedGoogle Scholar
  31. 31.
    Mattox KL, Von Koch L, Beall AC, DeBakey ME: Logistic and technical considerations in the treatment of the wounded heart. Cardiovasc Surg, Suppl Ito Circulation 51 & 52:1–210–214, 1975.Google Scholar
  32. 32.
    Demetriades D: Cardiac wounds. Ann Surg 315–517, March, 1986.Google Scholar
  33. 33.
    Trinkle JK, Marcos J, Grover FL, Cuello LM: Management of the wounded heart. Ann Thorac Surg 17: 230–236, 1974.PubMedCrossRefGoogle Scholar
  34. 34.
    Arom KV, Richardson JD, Webb G, Grover FL, Trinkle JK: Subxiphoid pericardial window in patients with suspected traumatic pericardial tamponade. Ann Thorac Surg 23: 545–550, 1977.PubMedCrossRefGoogle Scholar
  35. 35.
    Jacoby SS, Gillam LD, Pandian NG, Weyman AE: Two-dimensional and Doppler echocardiography in the evaluation of penetrating cardiac injury. Chest 88: 922–924, 1985.PubMedCrossRefGoogle Scholar
  36. 36.
    Walt JA, ed.: Cardiac Injuries. Philadelphia, WB Saunders Company, 1982, p 132–141.Google Scholar
  37. 37.
    Szentpetery S, Lower RR: Changing concepts in the treatment of penetrating cardiac injuries. J Trauma 17: 457, 1977.PubMedCrossRefGoogle Scholar
  38. 38.
    Symbas PN, Harlaftis N, Waldo WJ: Penetrating cardiac wounds: A comparison of different therapeutic methods. Ann Surg 377–381, April, 1976.Google Scholar
  39. 39.
    Harvey JC, Pacifico AD: Primary operative management: Method of choice for stab wounds to the heart. South MedJ 68: 149–152, 1975.CrossRefGoogle Scholar
  40. 40.
    Sugg WL, Rea WJ, Ecker RR, Webb WR, Rose EF, Shaw RR: Penetrating wounds of the heart. J Thorac Cardiovasc Surg 56: 531–542, 1968.PubMedGoogle Scholar
  41. 41.
    Tavares S, Hankins JR, Moulton AL, Attar S, Ali S, Lincoln S, Green DC, Sequeira A, McLaughlin JS: Management of penetrating cardiac injuries: The role of emergency room thoracotomy. Ann Thorac Surg 38: 183–187, 1984.PubMedCrossRefGoogle Scholar
  42. 42.
    Asfaw I, Thorns NW, Arbulu A: Interventricular septal defects from penetrating injuries of the heart. J Thorac Cardiovasc Surg 69: 450–457, 1975.PubMedGoogle Scholar
  43. 43.
    Goldman AP, Kotler MN, Goldberg SE, Parameswaran R, Parry W: The uses of two-dimensional doppler echocardiographic techniques preoperatively and postoperatively in a ventricular septal defect caused by penetrating trauma. Ann Thorac Surg 40: 625–627, 1985.PubMedCrossRefGoogle Scholar
  44. 44.
    Evans J, Gray LA, Rayner A, Fulton RL: Principles for the management of penetrating cardiac wounds. Ann Surg 777–783, June, 1979.Google Scholar
  45. 45.
    Tate JS, Horan DP: Penetrating injuries of the heart. Surg Gynec Obstet 157: 57–63, 1983.PubMedGoogle Scholar
  46. 46.
    Trinkle JK, Toon RS, Franz JL, Aron KV, Grover FL: Affairs of the wounded heart: Penetrating cardiac wounds. J Trauma 19:467–472, June, 1979.Google Scholar

Copyright information

© Kluwer Academic Publishers 1988

Authors and Affiliations

  • J. Lawrence Stafford
  • Carl L. Tommaso
  • Natesa G. Pandian

There are no affiliations available

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