{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T19:54:22Z","timestamp":1792180462082,"version":"4.4.0"},"reference-count":17,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"7","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pediatr Emer Care"],"published-print":{"date-parts":[[2016,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>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.<\/jats:p>","DOI":"10.1097\/pec.0000000000000556","type":"journal-article","created":{"date-parts":[[2015,10,14]],"date-time":"2015-10-14T13:00:26Z","timestamp":1444827626000},"page":"468-471","source":"Crossref","is-referenced-by-count":3,"title":["Cardiac Injury After All-Terrain Vehicle Accidents in 2 Children and a Review of the Literature"],"prefix":"10.1097","volume":"32","author":[{"given":"Kimberly D.","family":"Ngo","sequence":"first","affiliation":[{"name":"From the *Department of Anesthesiology, \u2020Department of Cardiothoracic Surgery, Children\u2019s Hospital Colorado, University of Colorado Hospital, Aurora, CO."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Phillip","family":"Pian","sequence":"additional","affiliation":[{"name":"From the *Department of Anesthesiology, \u2020Department of Cardiothoracic Surgery, Children\u2019s Hospital Colorado, University of Colorado Hospital, Aurora, CO."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert","family":"Hanfland","sequence":"additional","affiliation":[{"name":"From the *Department of Anesthesiology, \u2020Department of Cardiothoracic Surgery, Children\u2019s Hospital Colorado, University of Colorado Hospital, Aurora, CO."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher S.","family":"Nichols","sequence":"additional","affiliation":[{"name":"From the *Department of Anesthesiology, \u2020Department of Cardiothoracic Surgery, Children\u2019s Hospital Colorado, University of Colorado Hospital, Aurora, CO."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Glenn R.","family":"Merritt","sequence":"additional","affiliation":[{"name":"From the *Department of Anesthesiology, \u2020Department of Cardiothoracic Surgery, Children\u2019s Hospital Colorado, University of Colorado Hospital, Aurora, CO."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Campbell","sequence":"additional","affiliation":[{"name":"From the *Department of Anesthesiology, \u2020Department of Cardiothoracic Surgery, Children\u2019s Hospital Colorado, University of Colorado Hospital, Aurora, CO."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard J.","family":"Ing","sequence":"additional","affiliation":[{"name":"From the *Department of Anesthesiology, \u2020Department of Cardiothoracic Surgery, Children\u2019s Hospital Colorado, University of Colorado Hospital, Aurora, 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