Kieny R, Wolff F, Gross A, Mantz J M, Kurtz T, Kieny M T
Arch Mal Coeur Vaiss. 1975 Jan;68(1):97-103.
Report of one case of acquired traumatic interventricular septal defect due to a stab injury of the right ventricle by a knife. The highly-placed penetrating injury involved the muscular septum and very probably resulted in a right bundle-branch block of the His system. Surgical operation performed in view of a starting clinical intolerance with moderately increased right cardiac pressures, was done under ECC with easy suture of the septal wound. The post-operative course was normal and a quick clinical cure was noted, which persisted for 8 months after surgery. The interest of this case, in addition to the very severe condition of the patient who had sustained 11 stab-knife wounds, lies in the high localization of the septal wound, which explains the involvement of the intracardiac conduction pathways.
刀刺伤右心室致后天性创伤性室间隔缺损 1 例报告。高位穿透伤累及肌性间隔，很可能导致希氏系统右束支传导阻滞。鉴于患者开始出现临床不耐受且右心压力中度升高，在体外循环下进行手术，术中易于缝合间隔伤口。术后病程正常，临床迅速治愈，术后持续了 8 个月。该病例的意义在于，除了患者遭受 11 处刀刺伤这一非常严重的情况外，还在于间隔伤口的高位定位，这解释了心内传导通路受累的原因。
