TRAUMATIC CORONARY SINOCAMERAL FISTULA FROM A PENETRATING CARDIAC INJURY - CASE-REPORT AND REVIEW OF THE LITERATURE

Clinically apparent penetrating cardiac wounds require emergent surgic al therapy without the theoretical benefit of preoperative evaluation apart from the physical examination. Residual intracardiac injuries di scovered following the successful resuscitation and repair of immediat e life-threatening cardiac wounds should be sought in survivors of che st trauma who demonstrate new regurgitant murmurs or evidence of conge stive heart failure. To our knowledge, we report here the second case of a traumatic left ventricle-to-coronary sinus fistula, along with re commendations for its management.