Penetrating cardiac trauma mimicking congenital sinus Valsalva aneurysm rupture: A case report

Penetrating cardiac injuries are rare, but often fatal. They may present with different manifestations. A 30-year-old male patient was admitted with self-inflicted left parasternal stab wound in the second intercostal space. Computed tomography revealed pericardial and pleural effusion. Echocardiography and aortography showed severe aortic regurgitation and aorto-right ventricular communication mimicking a congenital sinus Valsalva aneurysm rupture. The patient was operated and aortic leaflet repair with a pericardial patch and closure of the communication on both aortic and right ventricular sides were performed. In conclusion, although such traumatic injuries are rare, they may be life-threatening and, therefore, requires prompt treatment.