{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T23:10:32Z","timestamp":1740179432876,"version":"3.37.3"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2020,7,17]],"date-time":"2020-07-17T00:00:00Z","timestamp":1594944000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100007112","name":"University of Cape Town","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100007112","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Right ventricular aneurysms (RVAs) are rare. We present a case with a combined RVA and right ventricular pericardial fistula resulting in a pericardial effusion and cardiac tamponade. The RVA was detected 47 days after the patient suffered a gunshot wound. This report adds to the body of scarce literature on RVA aetiology, diagnoses, and treatment.<\/jats:p>\n <\/jats:sec>\n \n Case summary<\/jats:title>\n A 30-year-old male patient presented with worsening respiratory distress over a 7-day period with clinical signs of cardiac tamponade following a history of a gunshot (with associated liver laceration, pulmonary embolism, right nephrectomy, and sepsis) 47 days prior. Transthoracic echocardiography showed a large circumferential pericardial effusion and an RVA. The patient was emergently taken for surgical repair of the RVA.<\/jats:p>\n <\/jats:sec>\n \n Discussion<\/jats:title>\n Our case presents a delayed presentation of a gunshot heart and an aetiology with indications of and against a true aneurysm. It brings attention to possible complications of penetrating precordial injuries, with the need for consideration and possible evaluation at follow-up. The literature on the operative excision of RVA is reviewed and various aetiological factors and consequences are discussed.<\/jats:p>\n <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytaa183","type":"journal-article","created":{"date-parts":[[2020,9,19]],"date-time":"2020-09-19T16:35:22Z","timestamp":1600533322000},"page":"1-5","source":"Crossref","is-referenced-by-count":0,"title":["A case report: delayed right ventricular pericardial fistula and aneurysm following penetrating traumatic injury\u2014a controversial aetiology"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1503-9613","authenticated-orcid":false,"given":"Martina","family":"Steinmaurer","sequence":"first","affiliation":[{"name":"University of Cape Town, Groote Schuur Hospital, Anzio Road, Observatory, Cape Town 7925, South Africa"},{"name":"Ludwig-Maximilians-University Munich, Bavariaring 19, 80336 M\u00fcnchen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6263-7192","authenticated-orcid":false,"given":"Blanche","family":"Cupido","sequence":"additional","affiliation":[{"name":"University of Cape Town, Groote Schuur Hospital, Anzio Road, Observatory, Cape Town 7925, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew","family":"Hannington","sequence":"additional","affiliation":[{"name":"University of Cape Town, Groote Schuur Hospital, Anzio Road, Observatory, Cape Town 7925, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0135-9408","authenticated-orcid":false,"given":"Rodgers","family":"Manganyi","sequence":"additional","affiliation":[{"name":"University of Cape Town, Groote Schuur Hospital, Anzio Road, Observatory, Cape Town 7925, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,7,17]]},"reference":[{"key":"2020112712564010700_ytaa183-B1","doi-asserted-by":"crossref","first-page":"221","DOI":"10.1016\/S0003-4975(10)64112-4","article-title":"Surgical treatment of right ventricular aneurysm: an uncommon procedure","volume":"23","author":"Lyons","year":"1977","journal-title":"Ann Thorac Surg"},{"key":"2020112712564010700_ytaa183-B2","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1002\/clc.4960180905","article-title":"Postinfarction ventricular aneurysms","volume":"18","author":"Friedman","year":"1995","journal-title":"Clin Cardiol"},{"key":"2020112712564010700_ytaa183-B3","first-page":"750","article-title":"Congenital left ventricular aneurysms and diverticula: an entity in search of an identity","volume":"14","author":"Ohlow","year":"2017","journal-title":"J Geriatr Cardiol"},{"key":"2020112712564010700_ytaa183-B4","first-page":"129","article-title":"Gunshot wounds causing myocardial infarction, delayed ventricular septal defect, and congestive heart failure","volume":"39","author":"Sudeep","year":"2012","journal-title":"Tex Heart Inst J"},{"key":"2020112712564010700_ytaa183-B5","doi-asserted-by":"crossref","first-page":"639","DOI":"10.1016\/j.ijcard.2015.03.385","article-title":"Chronic giant post-traumatic pseudoaneurysm of the right ventricular outflow tract associated with penetrating ventricular septal fistula","volume":"187","author":"Zhang","year":"2015","journal-title":"Int J Cardiol"},{"key":"2020112712564010700_ytaa183-B6","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1111\/j.1540-8183.2005.04057.x","article-title":"Large left ventricular pseudoaneurysm presenting 25 years after penetrating chest trauma","volume":"18","author":"Makaryus","year":"2005","journal-title":"J Interv Cardiol"},{"key":"2020112712564010700_ytaa183-B7","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1378\/chest.66.4.408","article-title":"Residual or delayed lesions from penetrating cardiac wounds","volume":"66","author":"Symbas","year":"1974","journal-title":"Chest"},{"key":"2020112712564010700_ytaa183-B8","doi-asserted-by":"crossref","first-page":"687","DOI":"10.1016\/0002-8703(73)90349-9","article-title":"Nonpenetrating cardiac injuries: a collective review","volume":"86","author":"Liedtke","year":"1973","journal-title":"Am Heart J"}],"container-title":["European Heart Journal - 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