Abstract
A 23-year-old man, operated on for pectus excavatum with a modified Ravitch procedure, was admitted to our emergency department suffering from severe dyspnea. Massive pericardial effusion, rupture of the sinus of Valsalva, and aortic-to-right ventricular fistula were present on echocardiography. Cardiac penetration of the metal bar was detected on chest CT scan. The defect at the right sinus of Valsalva was closed with a PTFE patch, and the right aortic and ventricular ruptures were repaired primarily.
© Georg Thieme Verlag KG Stuttgart · New York.
MeSH terms
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Adult
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Aortic Diseases / diagnosis
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Aortic Diseases / etiology*
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Aortic Diseases / surgery
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Aortic Rupture
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Device Removal
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Equipment Failure
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Foreign-Body Migration / complications*
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Foreign-Body Migration / diagnosis
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Foreign-Body Migration / surgery
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Funnel Chest / surgery
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Heart Diseases / diagnosis
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Heart Diseases / etiology*
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Heart Diseases / surgery
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Heart Ventricles / diagnostic imaging
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Heart Ventricles / injuries*
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Heart Ventricles / surgery
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Humans
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Male
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Pericardial Effusion / etiology
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Radiography
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Sinus of Valsalva*
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Steel / adverse effects
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Sternotomy / adverse effects
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Treatment Outcome
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Ultrasonography
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Vascular Fistula / diagnosis
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Vascular Fistula / etiology*
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Vascular Fistula / surgery