Cardiac Injury After All-Terrain Vehicle Accidents in 2 Children and a Review of the Literature. Issue 7 (July 2016)

• Record Type: Journal Article
• Authors: Ngo, Kimberly D.; Pian, Phillip; Hanfland, Robert; Nichols, Christopher S.; Merritt, Glenn R.; Campbell, David; Ing, Richard J.
• Is Part Of: Pediatric emergency care. Volume 32:Issue 7(2016)
• Publication Date: 2016-07
• Subjects: all-terrain vehicle accident -- traumatic cardiac injury -- mitral/tricuspid valve papillary muscle rupture -- cardiac surgery -- anesthesia; Pediatric emergencies -- Periodicals; 618.92002505
• DOI: 10.1097/PEC.0000000000000556
• Languages: English
• ISSNs: 0749-5161

Abstract

Abstract : Abstract: All-terrain vehicle (ATV) accidents leading to severe morbidity and mortality are common. At our institution, 2 children presented within weeks of each other after ATV accidents. Both children required cardiac valve surgery. The surgical management of these 2 children is discussed, and the literature is reviewed. On initial patient presentation, the diagnosis of a ruptured cardiac valve or ventricular septal defect (VSD) associated with these types of accidents is often delayed. We propose that patients presenting with evidence of high-energy blunt thoracic trauma after an ATV accident should undergo an electrocardiogram, cardiac enzyme assessment, and cardiac echocardiogram as part of the initial work-up to rule out significant myocardial injury.